Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study

Authors

DOI:

https://doi.org/10.3126/ajms.v15i3.60356

Keywords:

Elderly patients; Hip fracture surgery; Post-operative complications; Rehabilitation; Recovery

Abstract

Background: Hip fractures in elderly patients are a significant health-care concern due to their high morbidity and mortality rates.

Aims and Objectives: This study aims to analyze post-operative complications in this demographic to improve care strategies.

Materials and Methods: This observational study included 100 patients aged between 65 and 90 years, undergoing hip fracture surgery. The cohort comprised 40% males and 60% females. Patients underwent either total hip replacement (30%) or internal fixation (70%). We tracked post-operative complications within the first 30 days, mortality and reoperation rates, and recovery and rehabilitation outcomes over 6 months.

Results: Post-operative complications were reported in several categories: Infection (10%), cardiovascular (15%), respiratory (12%), renal (5%), neurological (8%), and gastrointestinal (6%). The most common infections were superficial wound infections (6%) and deep infections (4%). Cardiovascular complications included arrhythmias (8%), myocardial infarction (4%), and venous thromboembolism (3%). Pneumonia (7%), acute respiratory distress syndrome (3%), and pulmonary embolism (2%) were the primary respiratory complications. The study also recorded a 4% 30-day mortality rate and a 7% reoperation rate. The average hospital stay was 7 days, with 60% of patients requiring post-discharge rehabilitation. At 6-month post-surgery, 70% of patients had achieved complete recovery.

Conclusion: The study highlights a significant incidence of post-operative complications among elderly patients undergoing hip fracture surgery. The findings underscore the need for comprehensive perioperative care and vigilant monitoring to mitigate these risks. The data also stress the importance of post-discharge rehabilitation in enhancing recovery outcomes.

Downloads

Download data is not yet available.
Abstract
57
PDF
41

Downloads

Published

2024-03-01

How to Cite

Sanjeev Kumar Kare, Korada Ravi Kumar, Lukalapu Prasanna Kumar, & Nagendra Naidu B. (2024). Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study. Asian Journal of Medical Sciences, 15(3), 191–195. https://doi.org/10.3126/ajms.v15i3.60356

Issue

Vol. 15 No. 3 (2024)

Section

Original Articles

License

Copyright (c) 2023 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).