Open ankle fractures in the elderly: predisposing factors and the associated mortality
The purpose of this study was to investigate the independent effect of open ankle fractures on postoperative mortality and to identify factors leading to open ankle fractures in the elderly population. This is a retrospective case–control study of 1,045 patients aged 65 years and older, with ankle f...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2024-08, Vol.34 (6), p.3015-3021 |
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| container_title | European journal of orthopaedic surgery & traumatology |
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| creator | Schermann, Haggai Ogawa, Takahisa Lubberts, Bart Waryasz, Gregory R. Kaiser, Philip DiGiovanni, Christopher W. Guss, Daniel |
| description | The purpose of this study was to investigate the independent effect of open ankle fractures on postoperative mortality and to identify factors leading to open ankle fractures in the elderly population. This is a retrospective case–control study of 1,045 patients aged 65 years and older, with ankle fractures undergoing surgical fixation between 2010 and 2020 at three medical centers (Levels 1–2). A logistic regression analysis was used to identify risk factors for open fractures. Propensity score matching and survival analysis were used to measure the hazard of mortality attributable to open versus closed ankle fractures. There were 128 (12.2%) patients with open ankle fractures. Patients with open ankle fractures were more likely to be older, to be active smokers (OR = 1.7,
p
= 0.049), and tended to have a higher number of medical comorbidities including hypertension (OR = 2,
p
= 0.006) and chronic kidney disease (OR = 2.9, p = 0.005). Open ankle fractures were, independently of comorbid conditions and age, associated with higher risk of mortality (HR = 1.7,
p
= 0.03). |
| doi_str_mv | 10.1007/s00590-024-04016-3 |
| format | Article |
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p
= 0.049), and tended to have a higher number of medical comorbidities including hypertension (OR = 2,
p
= 0.006) and chronic kidney disease (OR = 2.9, p = 0.005). Open ankle fractures were, independently of comorbid conditions and age, associated with higher risk of mortality (HR = 1.7,
p
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p
= 0.049), and tended to have a higher number of medical comorbidities including hypertension (OR = 2,
p
= 0.006) and chronic kidney disease (OR = 2.9, p = 0.005). Open ankle fractures were, independently of comorbid conditions and age, associated with higher risk of mortality (HR = 1.7,
p
= 0.03).</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle</subject><subject>Ankle Fractures - mortality</subject><subject>Ankle Fractures - surgery</subject><subject>Case-Control Studies</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Fractures, Open - complications</subject><subject>Fractures, Open - mortality</subject><subject>Fractures, Open - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Older people</subject><subject>Original Article</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Smoking - adverse effects</subject><subject>Smoking - epidemiology</subject><subject>Surgical Orthopedics</subject><subject>Survival analysis</subject><subject>Traumatic Surgery</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMlKxTAUhoMozi_gQgpu3FRPxibu5OIEght1G9L2VKudTNrFfXujvQ64kCwSyPf_5_ARckDhhAJkpwFAGkiBiRQEUJXyNbJNBWcpBaXXf723yE4ILwBUGio3yRbXWhnFsm3yeDdgl7jutcGk8q4YJ48hqbtkfMYEmxJ9szxLBo9lHYY-1N1TUkWq9yGGyk_KhdAXtRuxTNrej66px-Ue2ahcE3B_de-Sh8uL-8V1ent3dbM4v00LJtWYGiwFyoJnyDQqo3MhpdCaZ9pAXLDgQmjhKukyneVKqUpDxQSlLmeaSYN8lxzPvYPv3yYMo23rUGDTuA77KVgOKjOUMwMRPfqDvvST7-J2llOIR1KqIsVmqvB9CB4rO_i6dX5pKdgP63a2bqN1-2nd8hg6XFVPeYvld-RLcwT4DIT41T2h_5n9T-07LZyLhg</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Schermann, Haggai</creator><creator>Ogawa, Takahisa</creator><creator>Lubberts, Bart</creator><creator>Waryasz, Gregory R.</creator><creator>Kaiser, Philip</creator><creator>DiGiovanni, Christopher W.</creator><creator>Guss, Daniel</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9271-6932</orcidid></search><sort><creationdate>202408</creationdate><title>Open ankle fractures in the elderly: predisposing factors and the associated mortality</title><author>Schermann, Haggai ; Ogawa, Takahisa ; Lubberts, Bart ; Waryasz, Gregory R. ; Kaiser, Philip ; DiGiovanni, Christopher W. ; Guss, Daniel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-9ed4e5c37e28e698b45548837890696c34484af5a787b666f80f2411ab28259e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle</topic><topic>Ankle Fractures - mortality</topic><topic>Ankle Fractures - surgery</topic><topic>Case-Control Studies</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Fractures, Open - complications</topic><topic>Fractures, Open - mortality</topic><topic>Fractures, Open - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Older people</topic><topic>Original Article</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Smoking - adverse effects</topic><topic>Smoking - epidemiology</topic><topic>Surgical Orthopedics</topic><topic>Survival analysis</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schermann, Haggai</creatorcontrib><creatorcontrib>Ogawa, Takahisa</creatorcontrib><creatorcontrib>Lubberts, Bart</creatorcontrib><creatorcontrib>Waryasz, Gregory R.</creatorcontrib><creatorcontrib>Kaiser, Philip</creatorcontrib><creatorcontrib>DiGiovanni, Christopher W.</creatorcontrib><creatorcontrib>Guss, Daniel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schermann, Haggai</au><au>Ogawa, Takahisa</au><au>Lubberts, Bart</au><au>Waryasz, Gregory R.</au><au>Kaiser, Philip</au><au>DiGiovanni, Christopher W.</au><au>Guss, Daniel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Open ankle fractures in the elderly: predisposing factors and the associated mortality</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2024-08</date><risdate>2024</risdate><volume>34</volume><issue>6</issue><spage>3015</spage><epage>3021</epage><pages>3015-3021</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>The purpose of this study was to investigate the independent effect of open ankle fractures on postoperative mortality and to identify factors leading to open ankle fractures in the elderly population. This is a retrospective case–control study of 1,045 patients aged 65 years and older, with ankle fractures undergoing surgical fixation between 2010 and 2020 at three medical centers (Levels 1–2). A logistic regression analysis was used to identify risk factors for open fractures. Propensity score matching and survival analysis were used to measure the hazard of mortality attributable to open versus closed ankle fractures. There were 128 (12.2%) patients with open ankle fractures. Patients with open ankle fractures were more likely to be older, to be active smokers (OR = 1.7,
p
= 0.049), and tended to have a higher number of medical comorbidities including hypertension (OR = 2,
p
= 0.006) and chronic kidney disease (OR = 2.9, p = 0.005). Open ankle fractures were, independently of comorbid conditions and age, associated with higher risk of mortality (HR = 1.7,
p
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| subjects | Age Factors Aged Aged, 80 and over Ankle Ankle Fractures - mortality Ankle Fractures - surgery Case-Control Studies Comorbidity Female Fractures, Open - complications Fractures, Open - mortality Fractures, Open - surgery Humans Male Medicine Medicine & Public Health Mortality Older people Original Article Propensity Score Retrospective Studies Risk Factors Smoking - adverse effects Smoking - epidemiology Surgical Orthopedics Survival analysis Traumatic Surgery |
| title | Open ankle fractures in the elderly: predisposing factors and the associated mortality |
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