PMID- 34110476
OWN - NLM
STAT- MEDLINE
DCOM- 20230201
LR  - 20230202
IS  - 1434-3916 (Electronic)
IS  - 0936-8051 (Linking)
VI  - 143
IP  - 1
DP  - 2023 Jan
TI  - Comparison of complication profiles for femoral neck, intertrochanteric, and 
      subtrochanteric geriatric hip fractures.
PG  - 49-54
LID - 10.1007/s00402-021-03978-x [doi]
AB  - INTRODUCTION: Most geriatric hip fractures occur in the femoral neck (FN) and 
      intertrochanteric (IT) regions of the femur, while a minority occur in the 
      subtrochanteric (ST) region. Relative outcomes based on the anatomical subtype of 
      fracture are not well studied. This study characterizes postoperative 
      complications and outcomes of hip fractures distinguished by anatomic region. 
      MATERIALS AND METHODS: The targeted hip fracture series of the American College 
      of Surgeons National Surgical Quality Improvement Program database was queried to 
      identify geriatric (>/= 65 years) patients who sustained operative FN, IT, and ST 
      hip fractures. Primary patient demographic and perioperative data were collected 
      and correlated with 30-day postoperative complications and outcomes. Multivariate 
      regression was used to calculate relative risks of adverse events (AEs) between 
      groups. RESULTS: In total, 8220 geriatric hip fracture patients were identified. 
      Risk-adjusted 30-day mortality was not significantly different between patients 
      with ST (5.8%, p = 0.735) and IT (7.3%, p = 0.169) femur fractures relative to 
      those with FN fractures (6.6%). The overall risk-adjusted rate of minor and major 
      medical AEs within 30 days and risk-adjusted rate of wound complications was not 
      significantly different between FN, IT, and ST fractures. Patients with IT 
      [34.4%, OR 2.35 (2.35-3.08), p < 0.001] and ST fractures [49.8%, OR 5.94 
      (4.58-7.70), p < 0.00] had higher risk-adjusted incidence of postoperative blood 
      transfusion relative to FN fractures (18.5%). Furthermore, patients with IT 
      fractures had a slightly lower risk-adjusted incidence of unplanned reoperation 
      [2.1 vs. 2.7%, OR 0.69 (0.47-0.99), p = 0.046] and hospital readmission (7.8 vs. 
      9.2%, OR 0.76 [0.63-0.91], p = 0.003) than patients with FN fractures. 
      CONCLUSIONS: With respect to anatomic region, geriatric hip fractures have 
      similar short-term mortality and medical AE profiles with differences in 
      transfusion, reoperation, and readmission rates. Knowledge of these short-term 
      outcomes may guide surgeons in counseling hip fracture patients peri-operatively.
CI  - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Arshi, Armin
AU  - Arshi A
AD  - Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 
      Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA. 
      arminarshi@mednet.ucla.edu.
FAU - Su, Lisa
AU  - Su L
AD  - Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 
      Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.
FAU - Lee, Christopher
AU  - Lee C
AD  - Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 
      Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.
FAU - Sassoon, Adam A
AU  - Sassoon AA
AD  - Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 
      Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.
FAU - Zeegen, Erik N
AU  - Zeegen EN
AD  - Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 
      Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.
FAU - Stavrakis, Alexandra I
AU  - Stavrakis AI
AD  - Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 
      Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.
LA  - eng
PT  - Journal Article
DEP - 20210610
PL  - Germany
TA  - Arch Orthop Trauma Surg
JT  - Archives of orthopaedic and trauma surgery
JID - 9011043
SB  - IM
MH  - Humans
MH  - Aged
MH  - Femur Neck
MH  - *Hip Fractures
MH  - *Femoral Neck Fractures/complications
MH  - Risk
MH  - Postoperative Complications/epidemiology/etiology
OTO - NOTNLM
OT  - Complications
OT  - Femoral neck
OT  - Fracture
OT  - Geriatric
OT  - Hip fracture
OT  - Intertrochanteric
OT  - Outcomes
OT  - Subtrochanteric
EDAT- 2021/06/11 06:00
MHDA- 2023/02/02 06:00
CRDT- 2021/06/10 12:27
PHST- 2020/12/01 00:00 [received]
PHST- 2021/05/26 00:00 [accepted]
PHST- 2021/06/11 06:00 [pubmed]
PHST- 2023/02/02 06:00 [medline]
PHST- 2021/06/10 12:27 [entrez]
AID - 10.1007/s00402-021-03978-x [pii]
AID - 10.1007/s00402-021-03978-x [doi]
PST - ppublish
SO  - Arch Orthop Trauma Surg. 2023 Jan;143(1):49-54. doi: 10.1007/s00402-021-03978-x. 
      Epub 2021 Jun 10.