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000278792 0247_ $$2ISSN$$a1863-9933
000278792 0247_ $$2ISSN$$a0340-2649
000278792 0247_ $$2ISSN$$a1439-0590
000278792 0247_ $$2ISSN$$a1615-3146
000278792 0247_ $$2ISSN$$a1863-9941
000278792 037__ $$aDZNE-2025-00628
000278792 041__ $$aEnglish
000278792 1001_ $$0P:(DE-2719)2241493$$aFink, Anne$$b0$$eFirst author
000278792 245__ $$aComparing mortality in the elderly after proximal femur fractures and coxarthrosis: the effect of individual health characteristics and day of surgery.
000278792 260__ $$aHeidelberg$$bSpringer Medizin$$c2025
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000278792 520__ $$aThis study investigates mortality variations between elective and urgent hip surgeries, focusing surgery timing and its impact on post-operative mortality. By comparing cases of femoral neck fractures, pertrochanteric fractures, and coxarthrosis across different follow-up durations, it aims to identify factors contributing to increased mortality.We used a random sample of German longitudinal health claims data (N = 250,000, 2004-2019) and identified 10,310 patients aged 50 years and older who underwent surgery for femoral neck fracture, pertrochanteric fracture, or coxarthrosis between 2004 and 2014. We tracked mortality at 30 days, 1 year, and 5 years. Cox proportional models were used, adjusted for the following covariates at the time of surgery: sex, age, comorbidities, nursing home dependency, discharge diagnosis, and weekday of surgery.Mortality probabilities were 5% at 30 days, 15.6% at 1 year, and 38.9% at 5 years, with significantly higher risks for fractures than coxarthrosis. Key factors influencing mortality included age, comorbidities (e.g., heart failure, stroke, myocardial infarction, dementia), and care dependency levels. Women had lower risks than men across all periods. Short-term mortality was most affected by comorbidities, while long-term mortality correlated with chronic health conditions such as nicotine abuse and diabetes mellitus, and care needs. Surgery timing showed no consistent weekday effects.Mortality differences reflect the impact of acute trauma from emergency surgery rather than the surgical procedure itself, emphasizing the need for optimized planning, preparation, early treatment and adaptable care structures in an aging population.
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000278792 650_7 $$2Other$$aCox proportional models
000278792 650_7 $$2Other$$aCoxarthrosis
000278792 650_7 $$2Other$$aGeriatric
000278792 650_7 $$2Other$$aMortality
000278792 650_7 $$2Other$$aProximal femur fracture
000278792 650_7 $$2Other$$aSurgery
000278792 650_2 $$2MeSH$$aHumans
000278792 650_2 $$2MeSH$$aFemale
000278792 650_2 $$2MeSH$$aMale
000278792 650_2 $$2MeSH$$aAged
000278792 650_2 $$2MeSH$$aGermany: epidemiology
000278792 650_2 $$2MeSH$$aMiddle Aged
000278792 650_2 $$2MeSH$$aAged, 80 and over
000278792 650_2 $$2MeSH$$aHip Fractures: surgery
000278792 650_2 $$2MeSH$$aHip Fractures: mortality
000278792 650_2 $$2MeSH$$aFemoral Neck Fractures: surgery
000278792 650_2 $$2MeSH$$aFemoral Neck Fractures: mortality
000278792 650_2 $$2MeSH$$aOsteoarthritis, Hip: surgery
000278792 650_2 $$2MeSH$$aOsteoarthritis, Hip: mortality
000278792 650_2 $$2MeSH$$aComorbidity
000278792 650_2 $$2MeSH$$aRisk Factors
000278792 650_2 $$2MeSH$$aTime Factors
000278792 650_2 $$2MeSH$$aLongitudinal Studies
000278792 650_2 $$2MeSH$$aAge Factors
000278792 650_2 $$2MeSH$$aElective Surgical Procedures: mortality
000278792 650_2 $$2MeSH$$aProximal Femoral Fractures
000278792 7001_ $$00000-0003-0584-343X$$aFalk, Steffi S I$$b1
000278792 7001_ $$00000-0003-1627-2767$$aGeorges, Daniela$$b2
000278792 773__ $$0PERI:(DE-600)2276432-X$$a10.1007/s00068-025-02882-y$$gVol. 51, no. 1, p. 213$$n1$$p213$$tEuropean journal of trauma and emergency surgery$$v51$$x1863-9933$$y2025
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