Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/778
Full metadata record
DC FieldValueLanguage
dc.contributor.authorSarıcaoğlu, Fatma-
dc.contributor.authorAksoy, Şemsi Mustafa-
dc.contributor.authorYılmazlar, A.-
dc.contributor.authorÖzkan, Derya-
dc.contributor.authorÇopuroğlu, Elif-
dc.contributor.authorÜnlüsoy, Eser Özlem-
dc.contributor.authorEkmekci, Perihan Elif-
dc.contributor.authorSüzer, Mehmet Anıl-
dc.contributor.authorArgun, Güldeniz-
dc.contributor.authorSunul, Hasibe-
dc.contributor.authorDemirel, İsmail-
dc.contributor.authorEroğlu, Ahmet-
dc.contributor.authorAlkaya, Filiz Solmaz-
dc.contributor.authorYüce, Deniz-
dc.contributor.authorHayran, Mutlu-
dc.date.accessioned2019-03-20T11:44:44Z
dc.date.available2019-03-20T11:44:44Z
dc.date.issued2018
dc.identifier.citationSüzer, M. A., Yilmazlar, A., Saricaoǧlu, F., Hayran, M., Ekmekçi, P. E., Aksoy, Ş. M., ... & Eroǧlu, A. (2018). Predicting mortality and morbidity of geriatric femoral fractures using a modified frailty index and perioperative features: A prospective, multicentre and observational study.en_US
dc.identifier.urihttps://hdl.handle.net/20.500.11851/778-
dc.description.abstractFemoral fracture is associated with high geriatric mortality. Frailty is the increased vulnerability to stressors resulting from aging-associated decreases in physiological reserve. We aimed to predict 30-365-day postoperative mortality and morbidity rates using modified frailty index and perioperative characteristics in geriatric femoral fractures. Materials and Method: Using a prospective observational design, data were collected from patients >65 years undergoing femoral fracture surgery from 13 different hospitals in 2016 and 2017. Post-discharge follow-up periods were 30, 90, 180, and 365 days. Age, sex, modified frailty index and anaesthesia types used during surgery were recorded. Renal markers, troponin I and haemoglobin levels were examined preoperatively and postoperatively at 24 and 72 hours. Results: We included 392 patients in this study. The age of the patients were between 65 and 101 (mean, 79±11.9). Median modified frailty index was 5 (interquartile range, 2–7). Increase in modified frailty index increased mortality rate. Mortality rate at postoperative 30 days was 9.8%, while overall study mortality rate was 23%. Spinal anaesthesia was administered in 205 patients (52.3%, most frequent), followed by general in 110 (28.1%), peripheral nerve blocks in 21 (5.4) and spinal-epidural in 43 (11%). Anaesthesia type affected both intensive care unit (p<0.001) and total hospitalization (p<0.012) duration. A logistic regression model revealed that frailty index, preoperative creatinine and centre type were independent mortality predictors. Conclusion: Increased modified frailty index was associated with higher postoperative mortality risk, thus providing an additional way for improving risk stratification. Preoperative creatinine increase and centre types are determining factors in mortality.en_US
dc.language.isoenen_US
dc.publisherGeriatrics Societyen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMortalityen_US
dc.subjectHip Fractureseu_US
dc.subjectFracture Surgeryeu_US
dc.titlePredicting Mortality and Morbidity of Geriatric Femoral Fractures Using a Modified Frailty Index and Perioperative Features: a Prospective, Multicentre and Observational Studyen_US
dc.title.alternativePerioperatif Özellikler ve Modifiye Kirilganlik İndeksi ile Geriatric Femoral Kiriklarinnin Morbidite ve Mortalitelerinin Öngörülmesi: Prospektif, Çokmerkezli, Gözlemsel Çalişmaen_US
dc.typeArticleen_US
dc.departmentFaculties, School of Medicine, Department of Basic Medical Sciencesen_US
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümütr_TR
dc.identifier.volume21en_US
dc.identifier.issue2en_US
dc.identifier.startpage118en_US
dc.identifier.endpage127en_US
dc.authorid0000-0002-0777-3861-
dc.identifier.wosWOS:000437936900003en_US
dc.identifier.scopus2-s2.0-85050921164en_US
dc.institutionauthorEkmekci, Perihan Elif-
dc.identifier.doi10.31086/tjgeri.2018240413-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
item.openairetypeArticle-
item.languageiso639-1en-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
crisitem.author.dept03.14. Department of Internal Medicine-
Appears in Collections:Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Temel Tıp Bilimleri Bölümü / Department of Basic Medical Sciences
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
Show simple item record



CORE Recommender

SCOPUSTM   
Citations

2
checked on Dec 21, 2024

WEB OF SCIENCETM
Citations

2
checked on Dec 21, 2024

Page view(s)

138
checked on Dec 23, 2024

Google ScholarTM

Check




Altmetric


Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.