End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly Son dönem böbrek yetmezliği parsiyel kalça proteziyle tedavi edilmiş kalça kırığı olan yaşlı hastalardaki mortaliteyi etkiler
Medeniyet Medical Journal, cilt.33, sa.1, ss.5-9, 2018 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 1
- Basım Tarihi: 2018
- Doi Numarası: 10.5222/mmj.2018.31391
- Dergi Adı: Medeniyet Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.5-9
- Anahtar Kelimeler: Elderly, End-stage renal disease, Hip fracture, Mortality
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Hip fractures are among important causes of mortality. Various comorbid factors contribute to this outcome. The end-stage renal failure (ESRF) is an extremely important factor leads to serious complications. When the presence of other comorbid diseases is taken into consideration, the relationship between mortality of hip fractures and end-stage renal disease was not well elucidated in the elderly population. The aim of this study was to determine the association between hip fracture mortality and end-stage renal disease. An evaluation was made of the data of patients with diagnosis of hip fracture. Current status of survival or date of death was determined. Patients were evaluated as cases with (Group 1: n=37), and without (Group 2: n=281) end-stage renal disease. Both groups were retrospectively compared regarding the age, female/male ratio, cardiac ejection fraction, bone cement usage, total hospitalization time, time from initial trauma to surgery for surgical preparation and mortality. There were additional comorbid diseases except renal disease. Besides the comorbidities were categorized as cardiac/ pulmonary/ neurologic and diabetes mellitus and both study groups were compared based on comorbid disease groups. There were no significant differences with respect to age (p=0.782), female: male ratio (p=0.659), ejection fraction (p=0.285), bone cement usage (p=0.971), duration of surgery (p=0,758), cardiac (p=0.570), pulmonary (p=0.875), and neurologic comorbidities (p=0.895) between two groups. A statistically significant relationship was found between both groups with respect to total hospitalization period (p<0.001), time from trauma to surgery (p<0.001), mortality (p=0.009) and diabetes mellitus (p=0.043). End-stage renal disease with diabetes mellitus increases mortality of hip fractures in the elderly independent from the presence of other comorbidities. These patients have a longer period of total hospitalization and surgical preparation time.