Abelleyra Lastoria, D. A., Benny, C. K., Smith, T. O. and Hing, C. B. (2023) Outcomes of hip fracture in centenarians : a systematic review and meta-analysis. European Geriatric Medicine, 14 . pp. 1223-1239. doi:10.1007/s41999-023-00866-y ISSN 1878-7657.
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Abstract
Purpose: Outcomes of hip fractures in centenarians remain underreported owing to the small number of patients reaching 100 years of age. This review aimed to determine outcomes of hip fracture in centenarians and to identify the most common comorbidities among centenarians with hip fracture to better characterise this population.
Methods: Published and unpublished literature databases, conference proceedings and the reference lists of included studies were searched to the 25th of January 2023. A random-effects meta-analysis was performed. Included studies were appraised using tools respective of study design.
Results: Twenty-three studies (6970 centenarians) were included (retrospective period: 1990-2020). The evidence was largely moderate to low in quality. One-year mortality following a hip fracture was 53.8% (95% CI: 47.2% to 60.3%). Pooled complication rate following a hip fracture in centenarians was 50.5% (95% CI: 25.3% to 75.6%). Dementia (26.2%, 95% CI: 15.7% to 38.2%), hypertension (15.6%, 95% CI: 3.4% to 33.1%), and diabetes (5.5%, 95% CI: 1.9% to 10.7%) were the most common comorbidities among centenarians with hip fracture.
Conclusion: Hip fractures in centenarians typically involve complex patient presentations with diverse comorbidities. However the current evidence-base is moderate to low in quality. Effective cross- discipline communication and intervention is suggested to promote treatment outcomes.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RD Surgery |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Centenarians -- Health risk assessment , Hip joint -- Fractures, Hip joint -- Fractures -- Patients -- Rehabilitation, Fractures in old age, Hip joint -- Fractures -- Treatment, Geriatric orthopedics |
| Journal or Publication Title: | European Geriatric Medicine |
| Publisher: | Springer |
| ISSN: | 1878-7657 |
| Official Date: | 2023 |
| Dates: | Date Event 2023 Published 4 October 2023 Available 8 August 2023 Accepted |
| Volume: | 14 |
| Page Range: | pp. 1223-1239 |
| DOI: | 10.1007/s41999-023-00866-y |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Date of first compliant deposit: | 12 September 2023 |
| Date of first compliant Open Access: | 12 October 2023 |
| Related URLs: | |
| URI: | https://wrap.warwick.ac.uk/179209/ |
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