md-medicaldata

Authors

 

Tanja Prodović¹, Branko Ristić^1,2, Nemanja Rančić³, Dragana Ignjatović-Ristić^1,2
1 Medicinski fakultet Univerziteta u Kragujevcu, Kragujevac, Srbija
² Klinički centar Kragujevac, Kragujevac, Srbija
³ Centar za kliničku farmakologiju; Medicinski fakultet Vojnomedicinske akademije Univerziteta odbrane u Beogradu, Beograd, Srbija

 

• Rad je primljen 31.10.2016. / Prihvaćen 07.11.2016.

 

 

Correspondence to:
dr sc. med. Nemanja Rančić;
Centar za kliničku farmakologiju;
Medicinski fakultet Vojnomedicinske akademije Univerziteta odbrane u Beogradu,
Crnotravska 17, 11000 Beograd, Srbija;
tel.: +381638524443;
e-mail: nece84@hotmail.com

 

 

Abstract

 

The paper describes  a direct link between hip fractures and the postoperative high mortality rate. It has been found  that the risk of death in the period immediately after the fracture was increased  2-10 times in relation to the general population of similar characteristics without hip fracture. The most of this mortality occurs in the first 3-6 months after surgery, maintaining a high rate up to one year after the fracture. The special attention in this paper is devoted to the predictors that influence the mortality rate of patients with hip fracture. This  analysis  is of the decisive importance  in identifying  the  patients at risk, in order to timely prevent complications. Short-term mortality is explained by the combination of comorbidities and acute effects of trauma.  On the other hand,  the prediction of long-term postoperative mortality outcome in the majority of the studies was ascribed  to the preoperative medical condition  as the  most reliable criteria. In summary, it can be concluded that the elderly men, with multiple chronic diseases (heart failure, chronic obstructive pulmonary disease, hypertension, diabetes), and with a higher degree of dependence in the daily activities are at highest risk of dying during the first year after the hip fracture.

 

 

Key words

hip fracture, mortality, aged, gender, comorbidity, complications

 

 

References

 

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