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Co-morbidities in Patients with a Hip Fracture

Richard Lloyd1, Gavin Baker1, Jonathan MacDonald1

  • 1Department of Trauma and Orthopaedic Surgery, Altnagelvin Hospital, Glenshane Road, Londonderry BT47 3HF.

The Ulster Medical Journal
|October 18, 2019
PubMed

Insights

Elderly hip fracture patients are older, have more comorbidities, and a higher mortality risk compared to acute medical patients. Cardiorespiratory issues are the most frequent comorbidities in this group.

Area of Science:

  • Geriatric Medicine
  • Orthopedic Surgery
  • Epidemiology

Background:

  • Hip fractures disproportionately affect elderly individuals.
  • Elderly patients often present with multiple pre-existing medical conditions (comorbidities).

Purpose of the Study:

  • To quantify the medical complexity of hip fracture patients.
  • To compare the comorbidity profile and age-adjusted Charlson Comorbidity Index (ACCI) of hip fracture patients with those admitted to an acute medical team.

Main Methods:

  • Retrospective review of 100 hip fracture patients.
  • Calculation of ACCI based on age and comorbidity data.
  • Comparison with a control group of 100 patients admitted to the acute medical team.

Main Results:

  • Hip fracture patients were significantly older (p<0.0001).
  • Hip fracture patients exhibited significantly more comorbidities (p<0.0001).
  • Hip fracture patients had a significantly greater predicted one-year mortality (p<0.0001).
  • Cardiorespiratory disorders were the most prevalent comorbidities in the hip fracture cohort.

Conclusions:

  • Elderly patients with hip fractures represent a medically complex group.
  • These patients face higher predicted mortality risks due to their advanced age and comorbidities.
  • Understanding this complexity is crucial for optimizing care pathways for hip fracture patients.

Keywords:
co-morbidityhip fracture

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