Super elderly patients with intertrochanteric fractures do not predict worse outcomes and higher mortality than elderly patients: a propensity score matched analysis

Jul 11, 2020Aging

Very old patients with hip fractures do not have worse recovery or higher death rates than other elderly patients

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Abstract

Among 2242 patients aged over 65, no significant differences were found in functional outcomes, complications, or survival rates between super elderly patients over 90 and those aged 65-90.

  • After matching for confounding variables, 192 patients remained in both the super elderly and elderly groups.
  • Functional outcomes and perioperative complications did not differ significantly between the two age groups after surgery.
  • Mortality rates at 30 days, 90 days, and 1 year showed no significant differences when evaluated.
  • Cumulative survival rates over an average follow-up of 37 months were similar between the two groups.
  • Increased mortality and poorer outcomes were associated with higher comorbidity scores, indicating that these factors may influence patient outcomes more than age alone.
  • Weak correlations were observed between patient age and five specific characteristics, suggesting a complex relationship.

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