TY - JOUR
PY - 2018//
TI - Cerebrovascular accidents associated with hip fractures: morbidity and mortality-5-year survival
JO - Journal of orthopaedic surgery and research
A1 - Atzmon, Ran
A1 - Sharfman, Zachary T.
A1 - Efrati, Noa
A1 - Shohat, Noam
A1 - Brin, Yaron
A1 - Hetsroni, Iftach
A1 - Nyska, Meir
A1 - Palmanovich, Ezequiel
SP - e161
EP - e161
VL - 13
IS - 1
N2 - BACKGROUND: Hip fractures are associated with increased cerebrovascular accidents (CVAs) in the first postoperative year. Long-term follow-up for CVA and mortality after hip fracture is lacking. The purpose of this study was to identify risk factors for CVA and follow mortality in hip fractures in a cohort with greater than 2 years follow-up.
METHODS: We compared past medical history of patients with hip fractures to long-term survival and the occurrence of CVA. Past medical history, surgical intervention, CVA occurrence, and death were queried from the electronic medical recorder system. Level of significance was set at p < 0.05 with 95% confidence interval.
RESULTS: Two thousand one hundred ninety-five patients met inclusion criteria. Mean follow-up was 5 years. One hundred ten (5.01%) patients were diagnosed with post-fracture CVA. Forty-one patients had CVA in the first year and 55 patients had CVA between 1 to 5 years after surgery. Among the potential risk factors, hypertension (HTN), atrial fibrillation (AF), and diabetes mellitus (DM) had the highest odds ratio for CVA (OR = 1.885, p value = 0.005; OR = 1.79, p value = 0.012; OR = 1.66, p value = 0.012). The median survival time in patients with CVA was 51.12 ± 3.76 months compared to 59.60 ± 0.93 months in patients without CVA (p = 0.033).
CONCLUSIONS: HTN, AF, and DM are significant risk factors for the occurrence of CVA after hip fracture. The majority of CVAs occur between the first and fifth year postoperatively, and CVA is a negative prognostic factor for postoperative survival. Language: en
LA - en
SN - 1749-799X
UR - http://dx.doi.org/10.1186/s13018-018-0867-1
ID - ref1
ER -