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5 - Is intensive care unit necessary for geriatric hip fractures?
Muharrem Kanar, Raffi Armagan, Yunus Oc, Mehmet Ali Talmac, Osman Tugrul Eren
Objective: As life expectancy increases, so does the prevalence of diseases observed in the elderly. Hip fractures that usually occur with simple falls are profoundly more common in the elderly population. In the present study, we aimed to examine the outcomes of patients with proximal femoral fractures aged >65 years who admitted to post-operative intensive care units and orthopaedic clinics.
Materials and Method: The study included 118 elderly patients (aged >65 years) who were available from medical records of hospital archives, with proximal femoral fractures who were surgically treated between 2010 and 2015 in our orthopaedic and traumatology clinics, with American Society of Anesthesiologists (ASA) 3 scores. Our aim was to evaluate the mortality rate during the early postoperative period (30 days). Patients were categorised into two groups based on where they were admitted to during the postoperative period.
Results: A total of patients over 65 years of age with 118 proximal femur fractures with an ASA score of 3 were evaluated in two groups; in the postoperative intensive care unit and in orthopaedic clinics. There was no significant difference between the two groups in terms of mortality rate during the early postoperative period.
Conclusion: For patients with proximal femoral fractures aged >65 years with an ASA score of 3 and who are thoroughly evaluated preoperatively, complications that may develop as a result of delays in the time-to-surgery, caused by postoperative intensive care requirements may be reduced by performing the surgery without delay.
Keywords: Fracture, geriatric, hip, intensive care
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