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A national analysis of complications following hemiarthroplasty for hip fracture in older patients

Lookup NU author(s): Dr Simon Jameson, Paul Baker, Michael Reed, Professor David Deehan


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Aim: We sought to better quantify this in terms of comorbidity and complication rates. Design: Retrospective review of national database. Methods: Data on all patients who underwent hip hemiarthroplasty for FNOF between January 2005 and December 2008 were extracted from the English hospital episode statistics database. Results: There were 41 770 patients aged 65-84 years and 35 321 patients aged epsilon 85 years. The older cohort was less likely to have diabetes, chronic obstructive pulmonary disease and rheumatoid arthritis. However, they exhibited a significantly higher risk of lower respiratory tract infection [odds ratio (OR) = 1.58, 95% confidence interval (CI) 1.50-1.67)], myocardial infarction (OR = 1.67, 1.52-1.83) and acute renal failure (OR = 1.54, 1.40-1.70) within 30 days of surgery with an inpatient mortality risk at 90 days, double that of the younger age group. Length of stay (LoS) was significantly longer in patients > 85 years compared to younger patients (median 18 days vs. 15, P < 0.001). Conclusion: Patients aged epsilon 85 years admitted for FNOF were found to have a lower incidence of major chronic disease but exhibited a greater incidence of acute events following hemiarthroplasty and their LoS was increased. Targeted medical interventions that focus upon this susceptible patient group may help reduce morbidity and improve survival.

Publication metadata

Author(s): Jameson SS, Khan SK, Baker P, James P, Gray A, Reed MR, Deehan DJ

Publication type: Article

Publication status: Published

Journal: QJM

Year: 2012

Volume: 105

Issue: 5

Pages: 455-460

Print publication date: 01/05/2012

ISSN (print): 1460-2725

ISSN (electronic): 1460-2393

Publisher: Oxford University Press


DOI: 10.1093/qjmed/hcs004


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