Clinical and Demographic Characteristics of Centenarians versus Other Age Groups Over 75 Years with Hip Fractures

• DOI: 10.2147/cia.s386563
• Publication Date: 2023-03-22T08:05:05Z
• Authors: Cristina Bermejo ...; Cristina Ojeda-Thies; Ainhoa Guijarro V...; Bernardo Abel Ced...; María Gonzalo Lázaro; Laura Navarro Cas...; Rocío Queipo Matas; Paloma Gómez Campelo; Ana Royuela Vicente; Juan Ignacio Gonz...; Pilar Sáez-López
• Keywords: Hip Fracture; Fragility fracture

The primary objective was to describe the clinical characteristics, management, and outcomes of centenarians with fragility hip fracture compare them other age groups. secondary determine variables associated length stay, in-hospital mortality 30-day mortality.This is a analysis Spanish National Hip Fracture Registry. We included patients ≥75 years admitted for fractures in 86 hospitals between 2017 2019, dividing sample into four studied were baseline type fracture, mortality.We 25,938 (2888 75-79 old; 14,762 octogenarians; 8,035 nonagenarians 253 centenarians). Of centenarians, 83% women, 33% had severe dementia, 9% dependency 36% lived residential care homes. Six out ten intertrochanteric fracture. Length hospital stay 8.6 days; 10.3% 20.9%. Older groups more functional dependency, living facilities being discharged nursing care. They less frequent early mobilization, osteoporosis treatment discharge rehabilitation units. In-hospital higher increasing age. In time surgery >48 hours independently (correlation coefficient 3.99 [95% CI: 2.35-5.64; p<0.001]) anaesthetic risk, based on an ASA score V, related (ASA II [OR 0.25, 95% 0.09-0.70; p=0.009] III 0.43, 0.19-0.96; p=0.039]).Centenarians different management outcomes. Although worse outcomes, nearly 4 5 alive one month after surgery.