Анализ летальности пациентов пожилого и старческого возраста с переломом проксимального отдела бедра

Abstract

Fractures of the proximal femur in elderly patients are one of the most severe complications of osteoporosis, being a serious public health problem, causing significant economic damage, and also lead to a high level of mortality among patients at the inpatient and outpatient levels. The results of treatment and a high mortality rate in this group of victims are directly dependent on the organization of medical care in this category of patients.Research objective: to assess the incidence of death, within 12 months from the moment of injury, in residents of Almaty over the age of 60 who had a fracture of the proximal femur.Materials and methods. To assess mortality rates in elderly patients, we performed an observational longitudinal cohort research that included data from 1283 patients aged 60 years and older with fractures of the proximal femur. Results of the treatment were kept for a year since delivery to the hospital. Results. The overall mortality of 1283 patients who applied to hospitals was 35.9%. 74.9% (722) of patients hospitalized in the hospital were survived, 25.1% (241) were died within a year, 6 (0.62%) patients of which were in the hospital. 324 of patients who were not hospitalized, 32.1% (104) of patients survived within a year after admission to the hospital, 67.9% (220) of patients died within a year.Conclusion. An analysis of mortality in elderly patients with fractures of the proximal femur showed that surgical treatment in this group of patients, carried out as early as possible, leads to a significant decrease in mortality within a 12-month follow-up period.Keywords: fracture of the proximal femur, osteoporosis, mortality, osteosynthesis, fracture of the femoral neck.