Saeed Vohra, Asim Hussain, Rajab Ali.
Postoperative Complications and Mortality in Elderly Patients with Acute Hip Fracture.
Med Forum Jan ;2(5):9-11.

Objective: Present study was planned to evaluate postoperative complications and mortality in elderly patients undergoing surgery of hip fracture. Study Design: Prospective study Place and Duration of Study: This study was conducted at departments of orthopedic surgery of Zia-ud-Din Teaching University Hospital, Dow university Hospital, Karachi and Leady Reading Hospital Peshawar from the period January 2009 to December 2012. Patients and Methods: Five hundred patients admitted with an acute hip fracture (between the period of 2009 – 12) at Zia-ud-Din Teaching hospital, Karachi and LRH hospital Peshawar were examined. Postoperative complications and mortality at 30 days. Results: When results were summed up and test parameters were compared, it was found that the most common complications were cardiac failure (10%) and chest infection (7%). Post operative mortality at 30 days in cardiac failure patients was 70% and in patients with chest infections was 35 %. Conclusion: Finally we conclude that cardiac failure and chest infection (which emerged as most common complications) are associated with increased mortality in elderly patients with hip fractures the mechanisms involved need further studies that may help to reduce the severity of complications to improve standard of care for elderly patients with hip fracture as suggested earlier.

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