Abstract:

Purpose: Frequently observed neck fractures in elderly patients are closely related to severe morbidity, malignity and even increased mortality. This study is aimed at examining the mortality rate observed in the first year after surgery of patients under surgery due to neck fractures and the factors affecting it. Tools and Methods: In our clinic between October 2014-February 2018, 164 patients over the age of 65 who were undergoing surgical treatment due to isolated intercanterial femure or femure neck fractures were reviewed backward. The archive records have obtained the necessary information about patients, such as age, gender, type of broken, time between bed and surgery, time between surgery and type of implant applied for broken. The patient was also informed by telephone of his death dates (if he died). Patients were divided into two groups as dead and living during the first year after surgery and comparative analyses were carried out in terms of the factors affecting mortality. Results: 138 patients were included in the study according to the criteria. The death rate in the first 1 year after surgery was 21.73%. The average age of the deceased group (85,97±7,49) was statistically significantly higher than the living group (79,02±8,92) (p=0,0001). The number of women in the group of deaths was statistically significantly higher than the number of women in the group of deaths (p=0,037). There was no significant difference between the broken type and the type of implant applied (p=0,881 and p=0,101). The deaths were statistically significantly higher than those in the group of people with the average intervals between hospitalization and surgery and hospitalization (p=0,034 and p=0,0001). The study found that the mortality rate in the first year after surgery was 21.73%, and the most important factors affecting the mortality were the increased period between the age and the age of age, and the period between the age of age and the age of age and the age of age.

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