One- Year Mortality Rate in Elderly Patients Undergoing Surgery Because of Hip Fracture: A Systematic Review and Meta-Analysis

Yıl 2023, Sayı: 1, 14 - 31, 10.11.2023

Hatice Azizoğlu , Fadime Çınar , Fatma Eti Aslan , Dilay Hacıdursunoğlu Erbaş

Öz

Aim: This study was conducted in order to systematically examine the data obtained from published studies to determine the 1-year mortality rates of patients who underwent surgery for hip fracture.
Materials And Methods: This research was carried out with the meta-analysis method. The literature search was made with the keywords “Orthopedic surgical, geriatric, mortality, hip fractures". Research papers which were published in Turkish and English languages between 2009 and 2019 on the subject with full text access right free of charge were included in the evaluation.
Results: As a result of the scanning, 40 studies were accessed in CINAHL, four studies in Web of Science, 175 studies in Google Scholar, six studies in Web of Science, 186 studies in PubMed, 200 studies in Medline and 580 studies in Ulakbim..Five studies that met the inclusion criteria were included in the meta-analysis. Two of the studies included in the study were descriptive, two were cohort research and one was in retrospective type, and the number of samples in the studies as a result of the systematic examination was determined to be between 46-948. Mortality rates in elderly patients who underwent hip fracture surgery were determined as 10.3-22% in the studies examined.
Conclusion: Determining the effective risk factor in the occurrence of hip fracture and subsequent mortality, which we frequently encounter in the elderly in the world and in our country, and keeping the accompanying comorbidities under control in this process will provide positive contributions to the care and treatment process

Anahtar Kelimeler

Hip Fractures, Orthopedic Surgery, Elderly, Mortality

Kalça Kırığı Nedeniyle Ameliyat Olan Yaşlı Hastalarda Bir Yıllık Ölüm Oranı: Sistematik Bir İnceleme ve Meta-Analiz

Öz

Amaç: Bu çalışma, kalça kırığı nedeniyle ameliyat edilen hastaların 1 yıllık mortalite oranlarının belirlenmesi amacıyla yayınlanmış çalışmalardan elde edilen verilerin sistematik olarak incelenmesi amacıyla yapıldı.
Gereç ve Yöntem: Bu araştırma meta-analiz yöntemi ile gerçekleştirildi. Literatür taraması “Ortopedik cerrahi, geriatrik, mortalite, kalça kırıkları” anahtar kelimeleri ile yapıldı. Konuyla ilgili 2009-2019 yılları arasında Türkçe ve İngilizce olarak yayınlanmış, tam metin erişim hakkı ücretsiz olan araştırma makalelerine yer verildi.
Bulgular: Tarama sonucunda CINAHL'da 40, Web of Science'ta dört, Google Akademik'te 175, Web of Science'ta altı, PubMed'de 186, Medline'da 200 ve Ulakbim'de 580 çalışmaya ulaşıldı. Dahil edilme kriterlerini karşılayan beş çalışma meta-analize dahil edildi. Çalışmaya dahil edilen araştırmların ikisi tanımlayıcı, ikisi kohort araştırması ve biri retrospektif türde olup, yapılan sistematik inceleme sonucunda çalışmalardaki örneklem sayısının 46-948 arasında olduğu belirlendi. İncelenen çalışmalarda kalça kırığı ameliyatı geçiren yaşlı hastalarda mortalite oranları %10,3-22 olarak belirlendi.
Sonuç: Dünyada ve ülkemizde yaşlılarda sıklıkla karşılaştığımız kalça kırığı ve buna bağlı ölümlerin oluşmasında etkili risk faktörlerinin belirlenmesi ve bu süreçte eşlik eden komorbiditelerin kontrol altında tutulması bakım ve tedavi sürecine olumlu katkılar sağlayacaktır.

Anahtar Kelimeler

Kalça Kırığı, Ortopedik Cerrahi, Yaşlı, Mortalite

Kaynakça

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