Potential hip fracture early death predictors – a retrospective analysis from prospective trauma registry

Authors

  • Tashfeen Ahmad Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
  • Zehra Abdul Muhammad Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.20102

Keywords:

Proximal femur fracture, trauma, Diastolic blood pressure, Femoral neck fracture, Death

Abstract

Objectives: To explore the blood pressure, fracture anatomical site, and age as potential predictors of death within 3 months after proximal femoral fracture management.

Method: The retrospective study was conducted from June 2015 and March 2020 at the Aga Khan University Hospital, Karachi and comprised orthopaedic trauma registry data of isolated proximal femur fracture patients managed between June 2015 and March 2020. Data of those who expired within 3 months of the management was pooled in group A, while data of those who survived >3 months post-treatment formed group B. Blood pressure at the time of hospital admission was considered normal at 90-120mmHg systolic and 60-80mmHg diastolic. Data was analysed using SPSS version 19.0.

Results: Of the 242 patients, 9(3.7%) were in group A; 5(55.5%) males and 4(44.4%) females with median age 78 years (interquartile range: 7 years). There were 233(96.3%) patients in group B; 123(52.7%) females and 110(47.2%) males with median age 70 years (interquartile range: 17 years). In 12 months post-treatment, 16(6.6%) patients expired; 9(56.25%) in group A, and 7(43.75%) in group B. Age >75 years and femoral neck fractures had a significant positive relationship with death within 3 months of surgical management (p<0.05).

Conclusion: Patients with femoral neck fracture and aged >75 years were found to be at the risk of death within 3 months post-management.

Key Words: Proximal femur fracture, Trauma, Diastolic blood pressure, Femoral neck fracture, Death.

Published

2025-01-26

How to Cite

Ahmad, T., & Muhammad, Z. A. (2025). Potential hip fracture early death predictors – a retrospective analysis from prospective trauma registry. Journal of the Pakistan Medical Association, 75(02), 249–254. https://doi.org/10.47391/JPMA.20102

Issue

Section

RESEARCH ARTICLE