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https://ahro.austin.org.au/austinjspui/handle/1/28720
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Weinberg, Laurence | - |
dc.contributor.author | Ou Yang, Bobby | - |
dc.contributor.author | Cosic, Luka | - |
dc.contributor.author | Klink, Sarah | - |
dc.contributor.author | Le, Peter | - |
dc.contributor.author | Li, Jasun Kai | - |
dc.contributor.author | Koshy, Anoop N | - |
dc.contributor.author | Jones, Daryl A | - |
dc.contributor.author | Bellomo, Rinaldo | - |
dc.contributor.author | Tan, Chong O | - |
dc.contributor.author | Lee, Dong-Kyu | - |
dc.date | 2021 | - |
dc.date.accessioned | 2022-02-01T04:44:55Z | - |
dc.date.available | 2022-02-01T04:44:55Z | - |
dc.date.issued | 2021-10-30 | - |
dc.identifier.citation | Journal of orthopaedic surgery and research 2021-10-30; 16(1): 653 | en |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/28720 | - |
dc.description.abstract | The outcomes of nonagenarian patients undergoing orthopaedic surgery are not well understood. We investigated the 30-day mortality after surgical treatment of unilateral hip fracture. The relationship between postoperative complications and mortality was evaluated. We performed a single-centre retrospective cohort study of nonagenarian patients undergoing hip fracture surgery over a 6-year period. Postoperative complications were graded according to the Clavien-Dindo classification. Correlation analyses were performed to evaluate the relationship between mortality and pre-specified mortality risk predictors. Survival analyses were assessed using Cox proportional hazards regression modelling. The study included 537 patients. The 30-day mortality rate was 7.4%. The mortality rate over a median follow-up period of 30 months was 18.2%. Postoperative complications were observed in 459 (85.5%) patients. Both the number and severity of complications were related to mortality (p < 0.001). Compared to patients who survived, deceased patients were more frail (p = 0.034), were at higher ASA risk (p = 0.010) and were more likely to have preoperative congestive heart failure (p < 0.001). The adjusted hazard ratio for mortality according to the number of complications was 1.3 (95% CI 1.1, 1.5; p = 0.003). Up to 21 days from admission, any increase in complication severity was associated significantly greater mortality [adjusted hazard ratio: 3.0 (95% CI 2.4, 3.6; p < 0.001)]. In a nonagenarian cohort of patients undergoing hip fracture surgery, 30-day mortality was 7.4%, but 30-month mortality rates approached one in five patients. Postoperative complications were independently associated with a higher mortality, particularly when occurring early. | en |
dc.language.iso | eng | |
dc.subject | Anaesthesia | en |
dc.subject | Complication | en |
dc.subject | Fracture | en |
dc.subject | Nonagenarian | en |
dc.subject | Surgery | en |
dc.title | Factors influencing early and long-term survival following hip fracture among nonagenarians. | en |
dc.type | Journal Article | en |
dc.identifier.journaltitle | Journal of orthopaedic surgery and research | en |
dc.identifier.affiliation | Cardiology.. | en |
dc.identifier.affiliation | Surgery (University of Melbourne).. | en |
dc.identifier.affiliation | Anaesthesia.. | en |
dc.identifier.affiliation | Intensive Care.. | en |
dc.identifier.affiliation | Department of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Ilsandong-gu, Goyang, 10326, Republic of Korea.. | en |
dc.identifier.affiliation | Department of Critical Care, The University of Melbourne, Melbourne, VIC, 3084, Australia.. | en |
dc.identifier.pubmeduri | https://pubmed.ncbi.nlm.nih.gov/34717695/ | en |
dc.identifier.doi | 10.1186/s13018-021-02807-6 | en |
dc.type.content | Text | en |
dc.identifier.orcid | 0000-0001-7403-7680 | en |
dc.identifier.orcid | 0000-0002-1650-8939 | en |
dc.identifier.orcid | 0000-0002-6446-3595 | en |
dc.identifier.orcid | 0000-0002-8741-8631 | en |
dc.identifier.pubmedid | 34717695 | |
local.name.researcher | Bellomo, Rinaldo | |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.openairetype | Journal Article | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.languageiso639-1 | en | - |
crisitem.author.dept | Anaesthesia | - |
crisitem.author.dept | Anaesthesia | - |
crisitem.author.dept | Anaesthesia | - |
crisitem.author.dept | Cardiology | - |
crisitem.author.dept | Intensive Care | - |
crisitem.author.dept | Intensive Care | - |
crisitem.author.dept | Data Analytics Research and Evaluation (DARE) Centre | - |
crisitem.author.dept | Anaesthesia | - |
Appears in Collections: | Journal articles |
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