Effect of Cardiovascular and Cerebrovascular Co-morbidities to the Mortality of Elderly Patients following Hip Fracture

Main Article Content

เพิ่มลาภ พงษ์ประภาพันธ์


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


Download data is not yet available.

Article Details

How to Cite
พงษ์ประภาพันธ์ เ. (2017). Effect of Cardiovascular and Cerebrovascular Co-morbidities to the Mortality of Elderly Patients following Hip Fracture. Lampang Medical Journal, 38(1), 1–9. Retrieved from https://he01.tci-thaijo.org/index.php/LMJ/article/view/183075
Original Article


1. Phadungkiat S, Chariyalertsak S, Rajatanavin R, Chiengthong K, Suriyawongpaisal P, Woratanarat P. Incidence of hip fracture in Chiang Mai. J Med Assoc Thai 2002;85:565-71.
2. Panula J, Pihlajamäki H, Mattila VM, Jaatinen P, Vahlberg T, Aarnio P, et al. Mortality and cause of death in hip fracture patients aged 65 or older - a population-based study. BMC Musculoskelet Disord 2011;12:105.
3. Castronuovo E, Pezzotti P, Franzo A, Di Lallo D, Guasticchi G. Early and late mortality in elderly patients after hip fracture: a cohort study using administrative health databases in the Lazio region, Italy. BMC Geriatr 2011;11:37.
4. Cameron ID, Chen JS, March LM, Simpson JM , Cumming RG, Seibel MJ , et al. Hip fracture causes excess mortality owing to cardiovascular and infectious disease in institutionalized older people: a prospective 5-year study. J Bone Miner Res 2010;25:866-72.
5. Johnell O, Kanis JA, Odén A, Sernbo I , Redlund-Johnell I, Petterson C, et al. Mortality after osteoporotic fractures. Osteoporos Int 2004;15:38-42.
6. Lewsirirat S, Thanomsingh P. Mortality and ambulatory status after intertrochanteric fracture treated at Maharat Nakhon Ratchasima hospital, Thailand. Thai J Orthop Surg 2010;34:5-12.
7. Wood DJ, Ions GK, Quinby JM, Gale DW, Stevens J . Factors which influence mortality after subcapital hip fracture . J Bone J Surg 1992;74-B:199-202
8. Chariyalertsak S, Suriwongpisal P, Thakkinstain. A Mortality after hip fractures in Thailand. Int Orthop 2001;25:294-7.
9. Aswaboonyalert N. Risk factors of mortality of Thai elderly patients within a year after hip fracture: Nong Khai Hospital. J Health Sci 2004;13:653-9.
10. Roche JJW, Wenn RT, Sahota O, Moran CG. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. BMJ 2005;331:1374-6.
11. Nho JH, Lee YK, Kim YS, Ha YC, Suh YS, Koo KH. Mobility and one-year mortality of stroke patients after hip-fracture surgery. J Orthop Sci 2014;19:756-61.