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Erschienen in: International Orthopaedics 6/2013

01.06.2013 | Original Paper

Perioperative mortality in hip fracture patients treated with cemented and uncemented hemiprosthesis: a register study of 11,210 patients

verfasst von: Ove Talsnes, Tarjei Vinje, Jan Erik Gjertsen, Ola E. Dahl, Lars B. Engesæter, Valborg Baste, Are Hugo Pripp, Olav Reikerås

Erschienen in: International Orthopaedics | Ausgabe 6/2013

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Abstract

Purpose

Adverse events associated with the use of bone cement for fixation of prostheses is a known complication. Due to inconclusive results in studies of hip fracture patients treated with cemented and uncemented hemiprostheses, this study was initiated.

Methods

Our study is based on data reported to the Norwegian Hip Fracture Register on 11,210 cervical hip fractures treated with hemiprostheses (8,674 cemented and 2,536 uncemented).

Results

Significantly increased mortality within the first day of surgery was found in the cemented group (relative risk 2.9, 95 % confidence interval 1.6–5.1, p=0.001). The finding was robust giving the same results after adjusting for independent risk factors such as age, sex, cognitive impairment and comorbidity [American Society of Anesthesiologists (ASA) score]. For the first post-operative day the number needed to harm was 116 (one death for every 116 cemented prosthesis). However, in the most comorbid group (ASA worse than 3), the number needed to harm was only 33.

Conclusions

We found increased mortality for the cemented hemiprosthesis the first post-operative day compared to uncemented procedures. This increased risk is closely related to patient comorbidity estimated by the patient’s ASA score.
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Metadaten
Titel
Perioperative mortality in hip fracture patients treated with cemented and uncemented hemiprosthesis: a register study of 11,210 patients
verfasst von
Ove Talsnes
Tarjei Vinje
Jan Erik Gjertsen
Ola E. Dahl
Lars B. Engesæter
Valborg Baste
Are Hugo Pripp
Olav Reikerås
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 6/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-1851-3

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