Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India
Introduction: Proximal femur fractures are a significant public health issue and a leading cause of morbidity and mortality in the elderly. It poses a remarkable burden on healthcare resources. Materials and Methods: Records of patients with proximal femur fracture operated during the study period (...
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| Language: | English |
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Indian Orthopaedic Research Group
2025-02-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/02/01/demographic-insights-into-one-year-mortality-following-proximal-femur-fracture-surgery-in-india/ |
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| author | Shivanshu Mittal Vivek Kumar David |
| author_facet | Shivanshu Mittal Vivek Kumar David |
| author_sort | Shivanshu Mittal |
| collection | DOAJ |
| description | Introduction:
Proximal femur fractures are a significant public health issue and a leading cause of morbidity and mortality in the elderly. It poses a remarkable burden on healthcare resources.
Materials and Methods:
Records of patients with proximal femur fracture operated during the study period (July 01, 2017–May 31, 2020) in our institution were obtained from hospital management system and analyzed retrospectively.
Results:
Out of 1189 patients, 1101 met the inclusion criteria. About 66.21% were intertrochanteric, 28.52% were neck femur, and 5.26% were sub-trochanteric fractures. About 60.85% of patients were female. The mean age was 74.1 ± 9.22 years. Most injuries were domestic falls (89%) and left-sided (55%). The average delay in presentation to the hospital was 2.5 ± 6.62 days with mean length of stay being 11.34 ± 6.22 days and average pre-operative wait being 6.89 ± 3.34 days. Hypertension was the most common comorbid condition associated (45%) followed by diabetes (27%). About 4% also sustained other fractures; most common were distal end radius and proximal humerus fracture. Majority (63.7%) were operated between 3 and 7 days post-admission and the most common surgery performed was osteosynthesis with proximal femoral nail (39.69%). For mortality assessment, 34 patients died during hospital stay, 785 patients could be assessed and 282 were lost to follow-up. In-hospital mortality was 3.08%, 30-day mortality was 8.05% and 1-year mortality was 18.92%.
Conclusion:
An integrated multidisciplinary approach with fall prevention awareness should be promoted to decrease the overall morbidity and mortality rate. |
| format | Article |
| id | doaj-art-6a4db7e80b3b4ff7afef3fa609d8380e |
| institution | DOAJ |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-6a4db7e80b3b4ff7afef3fa609d8380e2025-08-20T03:22:21ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-02-0115226226810.13107/jocr.2025.v15.i02.5302Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in IndiaShivanshu MittalVivek Kumar DavidIntroduction: Proximal femur fractures are a significant public health issue and a leading cause of morbidity and mortality in the elderly. It poses a remarkable burden on healthcare resources. Materials and Methods: Records of patients with proximal femur fracture operated during the study period (July 01, 2017–May 31, 2020) in our institution were obtained from hospital management system and analyzed retrospectively. Results: Out of 1189 patients, 1101 met the inclusion criteria. About 66.21% were intertrochanteric, 28.52% were neck femur, and 5.26% were sub-trochanteric fractures. About 60.85% of patients were female. The mean age was 74.1 ± 9.22 years. Most injuries were domestic falls (89%) and left-sided (55%). The average delay in presentation to the hospital was 2.5 ± 6.62 days with mean length of stay being 11.34 ± 6.22 days and average pre-operative wait being 6.89 ± 3.34 days. Hypertension was the most common comorbid condition associated (45%) followed by diabetes (27%). About 4% also sustained other fractures; most common were distal end radius and proximal humerus fracture. Majority (63.7%) were operated between 3 and 7 days post-admission and the most common surgery performed was osteosynthesis with proximal femoral nail (39.69%). For mortality assessment, 34 patients died during hospital stay, 785 patients could be assessed and 282 were lost to follow-up. In-hospital mortality was 3.08%, 30-day mortality was 8.05% and 1-year mortality was 18.92%. Conclusion: An integrated multidisciplinary approach with fall prevention awareness should be promoted to decrease the overall morbidity and mortality rate.https://jocr.co.in/wp/2025/02/01/demographic-insights-into-one-year-mortality-following-proximal-femur-fracture-surgery-in-india/one-year mortalityproximal femur fracturedemography |
| spellingShingle | Shivanshu Mittal Vivek Kumar David Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India Journal of Orthopaedic Case Reports one-year mortality proximal femur fracture demography |
| title | Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India |
| title_full | Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India |
| title_fullStr | Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India |
| title_full_unstemmed | Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India |
| title_short | Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India |
| title_sort | demographic insights into one year mortality following proximal femur fracture surgery in india |
| topic | one-year mortality proximal femur fracture demography |
| url | https://jocr.co.in/wp/2025/02/01/demographic-insights-into-one-year-mortality-following-proximal-femur-fracture-surgery-in-india/ |
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