Mortality rate in elderly patients over the age of sixty with a surgically treated hip fracture at a regional hospital in South Africa.

Abstract

Hip fractures are prevalent and serious injuries among patients over the age of 60, representing a significant public health issue with substantial morbidity, mortality, and healthcare costs. In recent decades, there has been a notable increase in the incidence of hip fractures, reflecting demographic shifts and an aging population. While conservative treatment may be appropriate for incomplete fractures, surgical intervention is typically required to restore mobility and reduce complications. Research indicates that several factors significantly influence the mortality rate in patients with hip fractures. Advanced age, poor physical status, male gender, and delayed treatment have been identified as critical determinants of mortality. These patients often present with significant comorbidities, such as cardiovascular disease, diabetes, and osteoporosis, which complicate their overall health status and elevate the risk of pre-operative and post-operative complications. Consequently, the mortality rate for hip fractures is higher compared to other types of fractures. The mortality rate following hip fractures is not only a measure of the severity of the injury but also serves as a crucial metric for evaluating the quality of care provided by healthcare facilities. It reflects the effectiveness of medical interventions, surgical procedures, and post-operative care. High mortality rates may indicate deficiencies in healthcare delivery, while improvements in these rates can signify advancements in medical practice and patient management. Understanding and identifying risk factors for increased mortality is essential for developing targeted interventions and improving patient outcomes. Anticipating potential complications and implementing strategies to mitigate these risks can enhance the overall care of patients with hip fractures. Given the importance of this issue, this study aims to determine the one-year post-surgery mortality rate of patients with hip fractures and to identify the comorbidities associated with these patients. By analysing these factors, the study seeks to provide insights into the prognosis of hip fracture patients and to inform clinical practices and healthcare policies aimed at reducing mortality and improving the quality of care for this vulnerable population.