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European Journal of Trauma and Emergency Surgery

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Open Access 01-06-2021 | Original Article

Predictors of 30-day mortality in orthogeriatric fracture patients aged 85 years or above admitted from the emergency department

Authors: Henk Jan Schuijt, Jelle Bos, Diederik Pieter Johan Smeeing, Olivia Geraghty, Detlef van der Velde

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2021

Abstract

Purpose

Orthogeriatric trauma patients are at risk for functional decline and mortality. It is important to identify high-risk patients in an early stage, to improve outcomes and make better informed treatment decisions. The aim of this study was to identify independent risk factors for 30-day mortality in patients aged 85 years or above admitted from the emergency department with a fracture.

Methods

All orthopaedic trauma patients 85 years or above admitted from the emergency department were included. After a 30-day follow-up, mortality was determined by consulting the patient records. Multivariable logistics regression analysis generated odd ratios for mortality risk factors. A subgroup analysis was performed for patients undergoing hip fracture surgery.

Results

The 30-day mortality in geriatric fracture patients admitted to the hospital was 12%. Risk factors for 30-day mortality were: increased age, male sex, decreased hemoglobin levels, living in an institutional care facility and a decreased BMI. For geriatric patients undergoing hip fracture surgery 30-day mortality was 11%. Independent risk factors for this group were: increased age, male sex, and a decreased BMI.

Conclusion

Orthopaedic trauma patients aged 85 years or above who are admitted to the hospital with a fracture are at high risk for mortality. This study identified older age, male sex, and decreased BMI as predictors of 30-day mortality in admitted geriatric fracture patients and in geriatric hip fracture patients undergoing surgery.

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Title: Predictors of 30-day mortality in orthogeriatric fracture patients aged 85 years or above admitted from the emergency department
Authors: Henk Jan Schuijt
Jelle Bos
Diederik Pieter Johan Smeeing
Olivia Geraghty
Detlef van der Velde
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-019-01278-z

At a glance: The STEP trials

Springer Medicine

Predictors of 30-day mortality in orthogeriatric fracture patients aged 85 years or above admitted from the emergency department

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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