A Comparative Study of Assessment of Prognosis of Hip Fracture Patients of Various Age Groups at A Tertiary Care Teaching Hospital

Abstract

Background: Over the past few decades, there had been a decline in the incidence of hip fractures, although there has been an exponential rise in the total number of fractures. Every year, it has been observed that approximately four percent rise occurs in the relative risk of mortality among elderly patients. Hence; we undertook the present study to assess the occurrence of hip fractures in patients of various age groups.

Materials & Methods: The present study included assessment the frequency of occurrence of 200 patients with hip fractures in various age groups. Out of 200 patients, 40 were males and 160 were females. The mean age of patients with hip fractures was 79.2 years. Out of 200, 85 cases were of femoral neck fractures and 115 cases were of trochanteric fractures. Classification of femoral neck fractures was done bases on the classification of Garden and classification of trochanteric fractures was done based on classification of Evans. Classification of all the subjects at the time of injury was done into following groups: Group I: Subjects between age group of 64 to 75 years, Group II: Subjects between age group of 76 to 85 years, Group III: Subjects between age group of 86 to 95 years, and Group IV: Subjects with age of 96 years and above. Comparison was done in between these groups in terms of performance status at the time of admission, functional outcome and survival outcome. All the results were analysed by SPSS software.

Results: Significant difference was obtained while comparing number of patients affected with dementia and anaemia in all the study groups. Number of males in group I, II, III and IV were 8, 14, 15 and 3 respectively. On comparing the ambulation prognosis in between the ambulatory and non- ambulatory patients in all the study groups, we observed statistically significant results.

Conclusion: For achievement of better and favourable prognosis in hip fracture patients, early ambulation should be carried.

 

Keywords: Age, Fracture, Hip.