Comparative Evaluation of Prognosis of Patients with Hip Fracture among Different Age Groups: An Institution Based Study
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Background: Hip fracture is one of the common fractures reported among both the young and elderly population in the recent time. Approximately 60 to 80 percent of the patients with hip fractures have been reported to be ambulatory at discharge. The factors influencing walking ability after treatment include age, pre-injury walking ability, status of dementia, and status of chronic systemic disease. Hence; we planned the present study to assess the prognosis of hip fracture elderly patients when grouped on the basis of age groups. Material & Methods: The present study included assessment of 225 patients who were admitted with the chief complaint of hip fracture. Assessment of the patients post-surgically was done. The patient rests for 2 days after surgery. Standing and walking training was conducted as long as the pain was tolerated. All the patients were classified into four study groups on the basis of age. Group I to IV included patients of age group of 63 to 72 years, 72 to 82 years, 82 to 92 years and 92 years and above respectively. The performance status at admission as well as functional and survival outcome at discharge were investigated and compared among four groups. All the results were analyzed by SPSS software. Results: Significant results were obtained while comparing the distribution of males among different group of patients divided on the basis of age. Among group I and group II patients, 90.2 and 88.9 percent of the patient had ambulation prior to hip fracture respectively. 30.5, 44.8, 58.6 and 62.7 percent of the patients in the group I, II, III and IV respectively had anaemia. Significant results were obtained while comparing the dementia among patients of different groups. Conclusion: For better functional results, active surgery and rehabilitation should be done even in cases of elderly patients.
Authors and Affiliations
Indranil Dutt
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