The Study Of The Relationship Between The Timing Of The Surgery After Hip Fracture And Postoperative Complications In Senile Patients

Objective: To discuss the relationship between the timing of the surgery after hip fracture and postoperative complications in senile patients, and find out other factors which are related with these complications. Materials and methods: Sixty-two patients, including 28 males aged from 65 to 72 year-old with mean age of 76.3 year-old and 34 females aged from 65 to 95 year-old with mean age of 78.1 year-old, undergone orthopedics surgery were studied in the retrospective cohort study. Timing of the surgery, the type of fracture, kind of surgery, preoperative comorbidities, ASA score and volume of blood transfusion were extracted from these patients who are followed up by telephone calls for the postoperative complications. The data were divided into subgroups according to the clinical characteristics. All data have been analysed by SAS software. Results: There is not significant difference in the mortality of the postoperative complication in the subgroups of timing of surgery, gender, age, kind of surgery and ASA score. There is significant difference in the mortality of the postoperative complication in the subgroups of preoperative comorbidities and the volume of blood transfusion. There is a significant causality between preoperative comorbidities and postoperative complications. Conclusion: There is no relationship between the timing of surgery and postoperative complications within one year in senile patients who had surgery for hip fracture. No correlations were found between the postoperative complications and gender, age, type of fracture, kind of surgery, ASA sore and the volume of blood volume. Preoperative comorbidities is an independent predictor of the postoperative complications. The mortality of the postoperative complications is 1.651 times higer in patients who have preoperative complications than those without preoperative complications. The operations for the treatment of fractures of the hip in senile patients should be performed as soon as possible to avoid the deterioration of the preoperative comorbidities caused by long-term bed.