Background and aim: Hip fracture (HF), whose prevalence increases exponentially with age, has been widely described among patients aged ≥65 years. However, less has been published about the oldest old (≥85 years). The aim of our study was to describe the characteristics and investigate the risk factors for 6-month mortality within a population of oldest old HF patients. Materials and methods: Observational cohort study with 6-month follow-up considering 171 subjects aged 85-89 years and 104 aged ≥90 years, consecutively admitted from March 2007 to August 2012 within the Orthogeriatric Unit (OGU) of an Italian teaching hospital. We collected demographic characteristics, comorbidities, medications, functional-cognitive-nutritional status, type of fracture and intervention. Considered outcomes included postoperative complications, re-hospitalisations, and survival. We finally analyzed the potential risk factors of 6-month mortality with multivariable logistic regression models to identify the independent predictors. Results: Nonagenarians were significantly more dependent in Katz’s ADL (p=.024) and impaired in MMSE scores (p=.008) than their counterparts. No differences were observed among the other characteristics. Considering the outcomes, nonagenarians showed the highest in-hospital and 6-month mortality rates. The analysis of the potential risk factors for 6-month mortality performed on the whole sample enlightened a role of independent predictors for delirium and pre-fracture severe disability (0-2 spared ADL), but not for age. Conclusion: Severe disability and incident delirium have a strong impact on 6-month mortality, but only delirium is potentially preventable. A careful assessment and early correction of its modifiable predisposing and precipitating factors is the main strategy we suggest to reduce the mortality risk among the oldest old.

Mazzola, P., Bellelli, G., Corsi, M., Carnevali, L., Castoldi, G., Zatti, G., et al. (2013). Risk Factors for 6-month Mortality among the Oldest Old Orthogeriatric Patients. In 2013 GSA Annual Scientific Meeting Abstracts - doi: 10.1093/geront/gnt151 (pp.311-311). Oxford University Press [10.1093/geront/gnt151].

Risk Factors for 6-month Mortality among the Oldest Old Orthogeriatric Patients

Mazzola, P;Bellelli, G;Carnevali, L;Castoldi, G;Zatti, G;Annoni, G
2013

Abstract

Background and aim: Hip fracture (HF), whose prevalence increases exponentially with age, has been widely described among patients aged ≥65 years. However, less has been published about the oldest old (≥85 years). The aim of our study was to describe the characteristics and investigate the risk factors for 6-month mortality within a population of oldest old HF patients. Materials and methods: Observational cohort study with 6-month follow-up considering 171 subjects aged 85-89 years and 104 aged ≥90 years, consecutively admitted from March 2007 to August 2012 within the Orthogeriatric Unit (OGU) of an Italian teaching hospital. We collected demographic characteristics, comorbidities, medications, functional-cognitive-nutritional status, type of fracture and intervention. Considered outcomes included postoperative complications, re-hospitalisations, and survival. We finally analyzed the potential risk factors of 6-month mortality with multivariable logistic regression models to identify the independent predictors. Results: Nonagenarians were significantly more dependent in Katz’s ADL (p=.024) and impaired in MMSE scores (p=.008) than their counterparts. No differences were observed among the other characteristics. Considering the outcomes, nonagenarians showed the highest in-hospital and 6-month mortality rates. The analysis of the potential risk factors for 6-month mortality performed on the whole sample enlightened a role of independent predictors for delirium and pre-fracture severe disability (0-2 spared ADL), but not for age. Conclusion: Severe disability and incident delirium have a strong impact on 6-month mortality, but only delirium is potentially preventable. A careful assessment and early correction of its modifiable predisposing and precipitating factors is the main strategy we suggest to reduce the mortality risk among the oldest old.
No
abstract + poster
Scientifica
Hip fracture; mortality; outcomes; risk factor; 6-month mortality; elderly; orthogeriatric;
English
Gerontological Society of America (GSA) Annual Scientific Meeting
0016-9013
http://gerontologist.oxfordjournals.org/content/53/S1.toc
Mazzola, P., Bellelli, G., Corsi, M., Carnevali, L., Castoldi, G., Zatti, G., et al. (2013). Risk Factors for 6-month Mortality among the Oldest Old Orthogeriatric Patients. In 2013 GSA Annual Scientific Meeting Abstracts - doi: 10.1093/geront/gnt151 (pp.311-311). Oxford University Press [10.1093/geront/gnt151].
Mazzola, P; Bellelli, G; Corsi, M; Carnevali, L; Castoldi, G; Zatti, G; Annoni, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/68403
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