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30-day morbidity and mortality after hip surgery - A single-centre study.
Junaid Khan1, Usman Ali1, Muhammad Zohaib Nawaz1
1Department of Orthopedic Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|June 27, 2026
Summary
Hip surgery patients aged older and with more comorbidities faced higher 30-day mortality risks. Identifying these factors is crucial for improving outcomes in low-resource settings.
Area of Science:
- Orthopaedic Surgery
- Public Health
- Epidemiology
Background:
- Hip surgery is a common procedure with significant morbidity and mortality risks.
- Low-resource settings present unique challenges in managing surgical outcomes.
- Understanding risk factors is essential for targeted interventions.
Purpose of the Study:
- To evaluate 30-day morbidity and mortality after hip surgery in a low-resource environment.
- To identify key patient and surgery-related risk factors for adverse outcomes.
Main Methods:
- Retrospective analysis of 1,221 patients undergoing hip surgery between 2015 and 2019.
- Data collected included demographics, comorbidities, surgical details, and postoperative outcomes.
- Statistical analysis performed using STATA 17 to identify risk factors.
Main Results:
- Overall 30-day mortality was 1.9% (23 deaths).
- Older age and higher comorbidity burden were significantly associated with mortality.
- Independent predictors of mortality included increased Charlson Comorbidity Index, intensive care, failed dynamic hip screw, re-intubation, septic shock, and cardiac arrest.
Conclusions:
- Advanced age and elevated Charlson Comorbidity Index scores are significant predictors of 30-day mortality post-hip surgery.
- These findings highlight the importance of comprehensive risk assessment and management in low-resource settings.