Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures
Abstract Background To investigate the risk factors for mortality in elderly patients who underwent hemiarthroplasty for femoral neck fractures over a five-year follow-up period. Methods A retrospective analysis of clinical data from 80 elderly patients treated with hemiarthroplasty between January...
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BMC
2025-04-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08620-0 |
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| author | Zhi Zeng Hao Li Chong Luo Mu-dan Huang Hai-peng Li Xiang Peng De-en Wan Jiang-jun Zhou Ming Chen Feng Shuang |
| author_facet | Zhi Zeng Hao Li Chong Luo Mu-dan Huang Hai-peng Li Xiang Peng De-en Wan Jiang-jun Zhou Ming Chen Feng Shuang |
| author_sort | Zhi Zeng |
| collection | DOAJ |
| description | Abstract Background To investigate the risk factors for mortality in elderly patients who underwent hemiarthroplasty for femoral neck fractures over a five-year follow-up period. Methods A retrospective analysis of clinical data from 80 elderly patients treated with hemiarthroplasty between January 2015 and December 2018. Kaplan–Meier survival analysis was conducted, and both univariate and multivariate logistic regression analyses identified independent mortality risk factors, including age, preoperative mobility, BMI, cardiovascular comorbidities, and fracture type. Results Of the 80 patients, 38 (47.5%) died within the follow-up period. Kaplan–Meier analysis showed significantly reduced survival in patients with cardiovascular comorbidities, unstable fractures (Garden III and IV), and limited pre-fracture mobility (p < 0.05). Univariate analysis identified age, pre-fracture mobility, BMI, cardiovascular comorbidities, and fracture type as significant factors associated with mortality (p < 0.05). Multivariate analysis confirmed age, pre-fracture mobility, cardiovascular comorbidities, and unstable fractures as independent mortality predictors (p < 0.05). Conclusions Advanced age, limited mobility before fracture, cardiovascular comorbidities, and unstable fractures significantly increase mortality risk in elderly patients undergoing hemiarthroplasty. Tailored fracture management and optimized cardiovascular care could improve survival. |
| format | Article |
| id | doaj-art-4401e55c216846849f455bddd4236559 |
| institution | OA Journals |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-4401e55c216846849f455bddd42365592025-08-20T02:17:49ZengBMCBMC Musculoskeletal Disorders1471-24742025-04-012611710.1186/s12891-025-08620-0Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fracturesZhi Zeng0Hao Li1Chong Luo2Mu-dan Huang3Hai-peng Li4Xiang Peng5De-en Wan6Jiang-jun Zhou7Ming Chen8Feng Shuang9Department of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceDepartment of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceDepartment of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceDepartment of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceDepartment of Orthopedics, The Fourth Medical Center of Chinese People’s Liberation Army General HospitalDepartment of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceDepartment of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceDepartment of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceDepartment of Orthopedics, The First Affiliated Hospital of Nanchang UniversityDepartment of Orthopedics, The 908th Hospital of Chinese People’s Liberation Army Joint Logistics Support ForceAbstract Background To investigate the risk factors for mortality in elderly patients who underwent hemiarthroplasty for femoral neck fractures over a five-year follow-up period. Methods A retrospective analysis of clinical data from 80 elderly patients treated with hemiarthroplasty between January 2015 and December 2018. Kaplan–Meier survival analysis was conducted, and both univariate and multivariate logistic regression analyses identified independent mortality risk factors, including age, preoperative mobility, BMI, cardiovascular comorbidities, and fracture type. Results Of the 80 patients, 38 (47.5%) died within the follow-up period. Kaplan–Meier analysis showed significantly reduced survival in patients with cardiovascular comorbidities, unstable fractures (Garden III and IV), and limited pre-fracture mobility (p < 0.05). Univariate analysis identified age, pre-fracture mobility, BMI, cardiovascular comorbidities, and fracture type as significant factors associated with mortality (p < 0.05). Multivariate analysis confirmed age, pre-fracture mobility, cardiovascular comorbidities, and unstable fractures as independent mortality predictors (p < 0.05). Conclusions Advanced age, limited mobility before fracture, cardiovascular comorbidities, and unstable fractures significantly increase mortality risk in elderly patients undergoing hemiarthroplasty. Tailored fracture management and optimized cardiovascular care could improve survival.https://doi.org/10.1186/s12891-025-08620-0HemiarthroplastyElderly patientsRisk factorsRetrospective analysis |
| spellingShingle | Zhi Zeng Hao Li Chong Luo Mu-dan Huang Hai-peng Li Xiang Peng De-en Wan Jiang-jun Zhou Ming Chen Feng Shuang Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures BMC Musculoskeletal Disorders Hemiarthroplasty Elderly patients Risk factors Retrospective analysis |
| title | Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures |
| title_full | Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures |
| title_fullStr | Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures |
| title_full_unstemmed | Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures |
| title_short | Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures |
| title_sort | risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures |
| topic | Hemiarthroplasty Elderly patients Risk factors Retrospective analysis |
| url | https://doi.org/10.1186/s12891-025-08620-0 |
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