Objective:

Hip Fracture is a significant cause of morbidity and mortality in the elderly patients. There are lots of studies about prognostic factors affecting mortality and morbidity. One of these factors is the effect of preoperative waiting period on mortality. Our goal is to investigate the effect of timing of surgery, patient’s age, comorbid diseases and ASA score on mortality in the scope of the current literature.

Material and Method:

136 patients over 55 years old with a diagnosis of intertrochanteric hip fracture for the first time, whose fractures were fixed between 2012-2013 with proximal femoral nail under spinal anesthesia were included in the study.The effect on mortality of parameters like age of the patient, comorbid diseases, ASA score, timing of surgery were examined.

Results:

Logistic regression analysis of variables like patients’ age, timing of surgery, ASA scores and the presence of comorbid diseases were done in order to demonstrate their effect on mortality. Patients age (p=0.005), ASA score of 3 or more (p=0.041) and the presence of comorbid diseases (p=0.033) were found to be effective factors on one year mortality. There is no effect of timing of surgery alone on one year mortality (p=0.143).

Conclusion:

Early surgery does not influence 1 year mortality rate. For elderly hip fracture patients, instead of a hasty operation, it’s wiser to fix general conditions quickly and then operate them.

Keywords: elderly, hip fracture, mortality