Sistematik Derlemeler ve Meta Analiz
BibTex RIS Kaynak Göster

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

Kaynakça

  • Bakış, M., Sarı, S., Cillimoğlu, A. Ö., Özbey, Ö., Uğur, B., & Oğurlu, M. (2014). The effect of anesthesia type on postoperative complications in major lower extremity surgery. Dicle Medical Journal, 41(1), 191-194. https://doi.org/10.5798/diclemedj.0921.2014.01.0397
  • Borenstein, B., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2013). Introduction to meta-analysis. (Trans. S. Dinçer). Ankara: Anı Publishing, p.15-20.
  • Brauer, C. A., Coca-Perraillon, M., Cutler, D. M., & Rosen, A. B. (2009). Incidence and mortality of hip fractures in the United States. JAMA, 302(14), 1573-1579. https://doi.org/10.1001/jama.2009.14622
  • Buecking, B., Eschbach, D., Knobe, M., Oberkircher, L., Balzer-Geldsetzer, M., Dodel, R., 18. Buecking, B., Eschbach, D., Knobe, M., Oberkircher, L., Balzer-Geldsetzer, M., Dodel, R.,…., Bliemel, C. (2017). Predictors of non-institutionalized survival 1 year after hip fracture: a prospective observational study to develop the Marburg Rehabilitation Tool for Hip fractures (MaRTHi). Medicine, 96(37), e7820 https://doi.org/10.1097/MD0000000000007820
  • Çetinkaya, E., Yavuz, U., Lapcin, O., Arıkan, Y., Akman, Y. E., Beng, K., & Kabukcuoglu, Y. S. (2016). Assessment of peroperative parameters affecting mortality in geriatric hip fractures. JAREM, 6(3), 183-187. https://doi.org/10.5152/jarem2016.931
  • Dinçer, S. (2014). Applied meta-analysis in educational sciences, Ankara, Pagem Publishing.
  • Edipoglu, E., Bilgili, M. G., Sarı, C., Basaran, S. H., Kural, C., & Avkan, M. C. (2013). Treatment of intertrochanteric femur fractures in geriatric patients with external fixator. Bakırköy Medical Journal, 9(1), 28-32. https://doi.org/10.5350/BTDMJB201309107
  • Eren, İ., Koyuncu, D., & Gönen, E. (2019). Functional results of intertrochanteric femur fractures after successful osteosynthesis with proximal femoral nails. Cukurova Med J, 44(4), 1323-1328. https://doi.org/10.17826/cumj.505416
  • Ersoy, A., Ervatan, Z., Ali, A., Kara, D., Sağ, E., & Adaş, M. (2013). Our experiences of anesthesia in hip surgery. Okmeydanı Medical Journal, 29(1), 33-36. https://doi.org/10.5222/otd.2013.033
  • Folbert, E. C., Hegeman, J. H., Vermeer, M., Regtuijt, E. M., Van der Velde, D., Ten Duis, H. J., & Slaets, J. P. (2017). Improved 1-year mortality in elderly patients with a hip fracture following integrated orthogeriatric treatment. Osteoporosis International, 28(1), 269-277. https://doi,org/10.1007/s00198-016-3711-7
  • Higgins, J. P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions, John Wiley & Sons.
  • Higgins, J. P. T., Thompson, S. G., Deeks, J. J, & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327. https://doi.org/10.1136/bmj.327.7414.557
  • Ilgın, M. B., Aydemir, A. N., Songür, M., Keser, S., & Bayar, A. (2018). Comparison of proximal femoral nail and hemiarthroplasty results in unstable intertrochanteric femur fractures. Pamukkale Medical Journal, 11(2), 101-105. https://doi.org/10.5505/ptd.2017.80958
  • Karaman, S., Karaman, T., Dogru, S., Sahin, A., & Arici, S. (2014). The effects of anesthsia techniques on mobidity-mortality in geriatric patients underwent orthopedic surgery. Journal of Contemporary Medicine, 4(3), 143-150. https://doi.org/10.16899/ctd.99763
  • Koc, M., Arikan, M., Arikan, O., & Dikmen, B. (2012). Retrospective evaluation of different methods of anesthesia for hip arthroplasty in advanced aged patients. Ortadogu Medical Journal, 4(4), 182-187.
  • Küçükosman, G., Öztoprak, H., Özturk, T., & Ayoglu, H. (2019). Factors associated with postoperative mortality in geriatric orthopedic surgery: A retrospective analysis of single center data. JARSS, 27(3), 186-192. https://doi.org/10.5222/jarss.2019.25733
  • Moloney, G. B., Pan, T., Van Eck, C. F., Patel, D., & Tarkin, I. (2016). Geriatric distal femur fracture: Are we underestimating the rate of local and systemic complications?. Injury, 47(8), 1732-1736. https://doi.org/10.1016/j.injury.2016.05.024
  • Moran, C. G, Wenn, R. T, Sikand, M, & Taylor, A. M. (2005). Early mortality after hip fracture: is delay before surgery important? J Bone Joint Surg Am, 87(3), 483–489. https://doi.org/10.2106/JBJS.D.01796
  • Okkaoğlu, M. C., Özdemir, M., Şeşen, H., Taşkesen, A., Demirkale, İ., & Altay, M. (2016). Retrospective analysis of epidemiological characteristics of elderly hip fractures. AATD, 1(1), 17-23.
  • Özmen, H., & Aydinli, B. (2017). The combination of siatic and femoral block (1 in 3) in hıp surgery. Osmangazi Journal of Medicine, 39(3), 98-103. https://doi.org/10.20515/otd.34152
  • Özturk, I., Toker, S., Erturer, E., Aksoy, B., & Seckin, F. (2008). Evaluation of risk factors affecting mortality in patients over 65 years of age who underwent hip fracture. Acta Orthop Traumatol Turc, 42(1), 16-21. https://doi.org/10.52142/omujecm.39.2.12
  • Polit, D. F., & Beck, C. T. (2009). Literature reviews: Finding and reviewing research evidence. In: D. F. Polit, & B. C. Tatano (Eds.), Essentials of Nursing Research: Appraising Evidence for Nursing Practice.7th ed. (pp.169-193). Philadelphia: Lippincott Williams & Wilkins.
  • Rothstein, H. R, Sutton, A. J., & Borenstein, M. (2005). Publication bias in meta-analysis. Publication bias in meta-analysis: Prevention, assessment and adjustments, 1-7. https://doi.org/10.1002/0470870168
  • Sener, M., Onar, V., Kazimoglu, C., & Yagdi, S. (2009). Mortality and morbidity in elderly patients who underwent partial prosthesis replacement for proximal femoral fractures. Joint Diseases & Related Surgery, 20(1), 11-17.
  • Streubel, P. N., Ricci, W. M., Wong, A., & Gardner, M. J. (2011). Mortality after distal femur fractures in elderly patients. Clinical Orthopaedics and Related Research, 469(4), 1188–1196. https://doi.org/10.1007/s11999-010-1530-2
  • Turhan, Y., & Arıcan, M. (2019). One-year mortality rates of patients with surgically treated hip fractures over the age of 65. Journal of Duzce University Health Sciences Institute, 9(2), 57-60. https://dx.doi.org/10.33631/duzcesbed.528982
  • Vochteloo, A. J., Moerman, S., Tuinebreijer, W. E., Maier, A. B., de Vries, M. R., Bloem, R. M., Nelissen, R. G., & Pilot, P. (2013). More than half of hip fracture patients do not regain mobility in the first postoperative year. Geriatrics & gerontology international, 13(2), 334–341. https://doi.org/10.1111/j.1447-0594.2012.00904.x

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

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

Hatice Azizoğlu Fadime Çınar Fatma Eti Aslan Dilay Hacıdursunoğlu Erbaş

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

  • Bakış, M., Sarı, S., Cillimoğlu, A. Ö., Özbey, Ö., Uğur, B., & Oğurlu, M. (2014). The effect of anesthesia type on postoperative complications in major lower extremity surgery. Dicle Medical Journal, 41(1), 191-194. https://doi.org/10.5798/diclemedj.0921.2014.01.0397
  • Borenstein, B., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2013). Introduction to meta-analysis. (Trans. S. Dinçer). Ankara: Anı Publishing, p.15-20.
  • Brauer, C. A., Coca-Perraillon, M., Cutler, D. M., & Rosen, A. B. (2009). Incidence and mortality of hip fractures in the United States. JAMA, 302(14), 1573-1579. https://doi.org/10.1001/jama.2009.14622
  • Buecking, B., Eschbach, D., Knobe, M., Oberkircher, L., Balzer-Geldsetzer, M., Dodel, R., 18. Buecking, B., Eschbach, D., Knobe, M., Oberkircher, L., Balzer-Geldsetzer, M., Dodel, R.,…., Bliemel, C. (2017). Predictors of non-institutionalized survival 1 year after hip fracture: a prospective observational study to develop the Marburg Rehabilitation Tool for Hip fractures (MaRTHi). Medicine, 96(37), e7820 https://doi.org/10.1097/MD0000000000007820
  • Çetinkaya, E., Yavuz, U., Lapcin, O., Arıkan, Y., Akman, Y. E., Beng, K., & Kabukcuoglu, Y. S. (2016). Assessment of peroperative parameters affecting mortality in geriatric hip fractures. JAREM, 6(3), 183-187. https://doi.org/10.5152/jarem2016.931
  • Dinçer, S. (2014). Applied meta-analysis in educational sciences, Ankara, Pagem Publishing.
  • Edipoglu, E., Bilgili, M. G., Sarı, C., Basaran, S. H., Kural, C., & Avkan, M. C. (2013). Treatment of intertrochanteric femur fractures in geriatric patients with external fixator. Bakırköy Medical Journal, 9(1), 28-32. https://doi.org/10.5350/BTDMJB201309107
  • Eren, İ., Koyuncu, D., & Gönen, E. (2019). Functional results of intertrochanteric femur fractures after successful osteosynthesis with proximal femoral nails. Cukurova Med J, 44(4), 1323-1328. https://doi.org/10.17826/cumj.505416
  • Ersoy, A., Ervatan, Z., Ali, A., Kara, D., Sağ, E., & Adaş, M. (2013). Our experiences of anesthesia in hip surgery. Okmeydanı Medical Journal, 29(1), 33-36. https://doi.org/10.5222/otd.2013.033
  • Folbert, E. C., Hegeman, J. H., Vermeer, M., Regtuijt, E. M., Van der Velde, D., Ten Duis, H. J., & Slaets, J. P. (2017). Improved 1-year mortality in elderly patients with a hip fracture following integrated orthogeriatric treatment. Osteoporosis International, 28(1), 269-277. https://doi,org/10.1007/s00198-016-3711-7
  • Higgins, J. P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions, John Wiley & Sons.
  • Higgins, J. P. T., Thompson, S. G., Deeks, J. J, & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327. https://doi.org/10.1136/bmj.327.7414.557
  • Ilgın, M. B., Aydemir, A. N., Songür, M., Keser, S., & Bayar, A. (2018). Comparison of proximal femoral nail and hemiarthroplasty results in unstable intertrochanteric femur fractures. Pamukkale Medical Journal, 11(2), 101-105. https://doi.org/10.5505/ptd.2017.80958
  • Karaman, S., Karaman, T., Dogru, S., Sahin, A., & Arici, S. (2014). The effects of anesthsia techniques on mobidity-mortality in geriatric patients underwent orthopedic surgery. Journal of Contemporary Medicine, 4(3), 143-150. https://doi.org/10.16899/ctd.99763
  • Koc, M., Arikan, M., Arikan, O., & Dikmen, B. (2012). Retrospective evaluation of different methods of anesthesia for hip arthroplasty in advanced aged patients. Ortadogu Medical Journal, 4(4), 182-187.
  • Küçükosman, G., Öztoprak, H., Özturk, T., & Ayoglu, H. (2019). Factors associated with postoperative mortality in geriatric orthopedic surgery: A retrospective analysis of single center data. JARSS, 27(3), 186-192. https://doi.org/10.5222/jarss.2019.25733
  • Moloney, G. B., Pan, T., Van Eck, C. F., Patel, D., & Tarkin, I. (2016). Geriatric distal femur fracture: Are we underestimating the rate of local and systemic complications?. Injury, 47(8), 1732-1736. https://doi.org/10.1016/j.injury.2016.05.024
  • Moran, C. G, Wenn, R. T, Sikand, M, & Taylor, A. M. (2005). Early mortality after hip fracture: is delay before surgery important? J Bone Joint Surg Am, 87(3), 483–489. https://doi.org/10.2106/JBJS.D.01796
  • Okkaoğlu, M. C., Özdemir, M., Şeşen, H., Taşkesen, A., Demirkale, İ., & Altay, M. (2016). Retrospective analysis of epidemiological characteristics of elderly hip fractures. AATD, 1(1), 17-23.
  • Özmen, H., & Aydinli, B. (2017). The combination of siatic and femoral block (1 in 3) in hıp surgery. Osmangazi Journal of Medicine, 39(3), 98-103. https://doi.org/10.20515/otd.34152
  • Özturk, I., Toker, S., Erturer, E., Aksoy, B., & Seckin, F. (2008). Evaluation of risk factors affecting mortality in patients over 65 years of age who underwent hip fracture. Acta Orthop Traumatol Turc, 42(1), 16-21. https://doi.org/10.52142/omujecm.39.2.12
  • Polit, D. F., & Beck, C. T. (2009). Literature reviews: Finding and reviewing research evidence. In: D. F. Polit, & B. C. Tatano (Eds.), Essentials of Nursing Research: Appraising Evidence for Nursing Practice.7th ed. (pp.169-193). Philadelphia: Lippincott Williams & Wilkins.
  • Rothstein, H. R, Sutton, A. J., & Borenstein, M. (2005). Publication bias in meta-analysis. Publication bias in meta-analysis: Prevention, assessment and adjustments, 1-7. https://doi.org/10.1002/0470870168
  • Sener, M., Onar, V., Kazimoglu, C., & Yagdi, S. (2009). Mortality and morbidity in elderly patients who underwent partial prosthesis replacement for proximal femoral fractures. Joint Diseases & Related Surgery, 20(1), 11-17.
  • Streubel, P. N., Ricci, W. M., Wong, A., & Gardner, M. J. (2011). Mortality after distal femur fractures in elderly patients. Clinical Orthopaedics and Related Research, 469(4), 1188–1196. https://doi.org/10.1007/s11999-010-1530-2
  • Turhan, Y., & Arıcan, M. (2019). One-year mortality rates of patients with surgically treated hip fractures over the age of 65. Journal of Duzce University Health Sciences Institute, 9(2), 57-60. https://dx.doi.org/10.33631/duzcesbed.528982
  • Vochteloo, A. J., Moerman, S., Tuinebreijer, W. E., Maier, A. B., de Vries, M. R., Bloem, R. M., Nelissen, R. G., & Pilot, P. (2013). More than half of hip fracture patients do not regain mobility in the first postoperative year. Geriatrics & gerontology international, 13(2), 334–341. https://doi.org/10.1111/j.1447-0594.2012.00904.x
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Hatice Azizoğlu 0000-0002-7859-7236

Fadime Çınar 0000-0002-9017-4105

Fatma Eti Aslan

Dilay Hacıdursunoğlu Erbaş

Erken Görünüm Tarihi 10 Kasım 2023
Yayımlanma Tarihi 10 Kasım 2023
Yayımlandığı Sayı Yıl 2023 Sayı: 1

Kaynak Göster

APA Azizoğlu, H., Çınar, F., Eti Aslan, F., Hacıdursunoğlu Erbaş, D. (2023). One- Year Mortality Rate in Elderly Patients Undergoing Surgery Because of Hip Fracture: A Systematic Review and Meta-Analysis. Hitit Sağlık Dergisi(1), 14-31.
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