Effect of Cardiovascular and Cerebrovascular Co-morbidities to the Mortality of Elderly Patients following Hip Fracture
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Abstract
Background: Cardiovascular and cerebrovascular diseases are the important co-morbidities of elderly patients who sustain hip fracture that may increase mortality risk after treatment.
Objective: To evaluate the effect of cardiovascular and cerebrovascular co-morbidities to the mortality of elderly patients following hip fracture in Chom Thong district, Chiang Mai province
Material and method: A retrospective cohort study was conducted on the 292 elderly patients aged ≥60 years with acute hip fractures whom treated in Chom Thong Hospital during January 2007 to December 2014. Demographic data, cardiovascular and cerebrovascular co-morbidities (cerebrovascular disease, ischemic heart disease, cardiac arrhythmia, congestive heart failure, valvular heart disease), type of treatment and mortality were recorded. The data was analyzed by using Kaplan-Meier survival analysis and Cox regression analysis.
Results: The mean age was 79 years (range, 60-99) and three-forth of the patients was female. Most of injury was intertrochanteric fracture (58.9%). The most common co-morbidities were congestive heart failure (10.3%) and cerebrovascular disease (8.2%). Most of patient received non-operative treatment (52.1%). Factors related with significantly increased mortality were age (HR=1.04, 95%CI 1.02 -1.07, p=0.025), congestive heart failure (HR=1.85, 95%CI 1.09-3.17,
p=0.023) and non-operative treatment (HR=2.23, 95%CI 1.48-3.38, p=0.001)
Conclusion: Congestive heart failure was the only cardiovascular co-morbidity affecting the mortality of elderly patients following hip fracture. Cerebrovascular disease was not a significant factor. Proper evaluation of medical co-morbidities and operative treatment may decrease the
mortality.
Article Details
บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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