Comparison of Hemiarthroplasty, total hip arthroplasty, and internal fixation for hip fractures in patients over eighty years of age: factors affecting mortality: a nationwide cohort study of fifty three thousand, four hundred and ninety five patients from Türkiye

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dc.contributor.authorUzel, Kadir
dc.contributor.authorBirinci, Murat
dc.contributor.authorHakyemez, Ömer Serdar
dc.contributor.authorBostancı, Bilal
dc.contributor.authorBingöl, İzzet
dc.contributor.authorÖktem, Umut
dc.contributor.authorAzboy, İbrahim
dc.date.accessioned2026-05-14T09:01:34Z
dc.date.available2026-05-14T09:01:34Z
dc.date.issued2025
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractPurpose: Hip fractures are a common cause of mortality in elderly patients. This study aimed to determine the predictive factors affecting mortality among patients over the age of 80 who underwent surgical treatment for hip fractures. Methods: We searched the Turkish Ministry of Health’s e-health database to identify patients over 80 years old who had undergone surgery for proximal femoral fractures from 2016 to 2022. This process yielded 53,495 patients. Demographic data as well as comorbidities, blood transfusions, postoperative 90 days medical complications, and mortality was investigated. Multivariate logistic regression analysis was performed to identify risk factors for one year mortality in patients undergoing surgical treatment for proximal hip fractures. Results: The mortality rate was 37.2% in the first year. The mean Charlson comorbidity index(CCI) was 6.8 (range: 4–22). In the postoperative period, 68.6% of the patients received blood transfusions. Logistic regression analysis identified significant predictors of one-year mortality in surgical patients, including male gender, increased age, higher CCI scores, AKI, PE, pneumonia, electrolyte imbalance, gastrointestinal bleeding, blood transfusion, and increased mortality risks with hemiarthroplasty and internal fixation compared to total hip arthroplasty. (p < 0.001 for all). Conclusions: This large cohort study demonstrated that the mortality rate is high and that the type of surgery, male gender, older age, blood transfusion requirements, and high CCI score are associated with mortality in patients over 80 years of age who have undergone surgery for hip fractures. Preoperative optimization and postoperative care are critical for these vulnerable elderly patients.
dc.description.sponsorshipScientific and Technological Research Council of Turkiye (TUBITAK)
dc.identifier.citationUzel, K., Birinci, M., Hakyemez, Ö. S., Bostancı, B., Bingöl, İ., Öktem, U. ... Azboy, İ. (2025). Comparison of Hemiarthroplasty, total hip arthroplasty, and internal fixation for hip fractures in patients over eighty years of age: factors affecting mortality: a nationwide cohort study of fifty three thousand, four hundred and ninety five patients from Türkiye. International Orthopaedics, 49(3), 729-736. http://dx.doi.org/10.1007/s00264-025-06412-8
dc.identifier.doi10.1007/s00264-025-06412-8
dc.identifier.endpage736
dc.identifier.issn0341-2695
dc.identifier.issn1432-5195
dc.identifier.issue3
dc.identifier.pmid39903258
dc.identifier.scopus2-s2.0-85217691432
dc.identifier.scopusqualityQ1
dc.identifier.startpage729
dc.identifier.urihttp://dx.doi.org/10.1007/s00264-025-06412-8
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13448
dc.identifier.volume49
dc.identifier.wosWOS:001414023900001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorUzel, Kadir
dc.institutionauthorAzboy, İbrahim
dc.institutionauthorid0000-0002-3695-9884
dc.institutionauthorid0000-0003-0926-3029
dc.language.isoen
dc.relation.ispartofInternational Orthopaedics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectElderly
dc.subjectHemiarthroplasty
dc.subjectHip Fracture
dc.subjectInternal Fixation
dc.subjectMortality
dc.subjectTotal Hip Arthroplasty
dc.titleComparison of Hemiarthroplasty, total hip arthroplasty, and internal fixation for hip fractures in patients over eighty years of age: factors affecting mortality: a nationwide cohort study of fifty three thousand, four hundred and ninety five patients from Türkiye
dc.typeArticle

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