![]() ![]() It can also be seen from the repeated correction of the Nottingham Hip Fracture Score (NHFS). Especially in recent years, with the participation of orthogeriatrics, the proposal of the concept of rapid rehabilitation, the increase in the use of anti-osteoporosis drugs, and the improvement of medical care and patients' understanding of the disease, the in-hospital mortality and all-cause mortality of elderly hip fracture patients have been further reduced. Now, clinicians believe that re-fracture and all-cause mortality can be reduced by early surgery, reduced bed rest, and anti-osteoporosis treatment. Although hip fracture is discussed as a unified discussion, there is a significant difference in the incidence rate and mortality after operation for femoral intertrochanteric fracture and femoral neck fracture. And according to a systematic analysis, the pooled estimate of the 1-year mortality rate was 17.47% after femoral intertrochanteric fracture and 9.83% after femoral neck fracture between 20. To patients older than 75, Intertrochanteric fracture contributed more to the crude growth rate than femoral neck fracture. Approximately 33% of men and 22% of women suffering a hip fracture will die within 1 year. And Hip fracture is one of the main consequences of osteoporosis, with devastating results for the affected patients, including markedly increased subsequent fracture risk and significant increased all-cause mortality. The number of osteoporosis-related fractures would grow to about 6 million and cost $25.4 billion annually by the year 2050. Under the co-management of orthopedics and geriatrics, to Chinese patients with Femoral Intertrochanteric fracture, Doctors should pay more attention to their age and chronic disease, and give anti-osteoporosis treatment if allowed.ĭue to the increased proportion of the elderly population, increasing life expectancy, and light labor lifestyle, the number of patients with osteoporosis and osteoporotic fractures had increased, and brought a high economic burden and nursing management challenges to patients, medical staff, and society. (2) Elderly patients with Intertrochanteric fracture can benefit from the early treatment of Zoledronic Acid (within 3 days after the operation). (1) Most of the dead patients were older (the mean age was 83.4 years, compared with 79.8 years for surviving patients), with more complications and without anti-osteoporosis medication gender, pre-fracture history, BMI, total hip BMD, hemoglobin, 25(OH)D had no difference between the dead and the living patients. Kaplan–Meier survival curves and multivariate Cox proportional hazards models were constructed to analyze the impact of factors on all-cause mortality. Age, gender, body mass index (BMI), history of comorbidities, hip Bone Mineral Density (BMD), fracture history, 25(OH)D level, hemoglobin level, anti-osteoporosis treatment were risk factors to be tested. This is a single-center prospective cohort study based on the real world, under the co-management of orthopedics and geriatrics, 363 patients aged ≥ 65 years with femoral intertrochanteric fracture were enrolled and followed up for 2–3 years 52 patients were lost to follow up. This paper aims to study the risk factors of postoperative all-cause mortality in aged patients with femoral intertrochanteric fracture under the co-management model of orthopedics and geriatrics. However, the mortality of Chinese femoral intertrochanteric fracture patients under this model has not been reported in the literatures. With the application of the concept of co-management model of orthopedics and geriatrics, the short-term and long-term mortality of all types of hip fractures has decreased (Van Heghe et al. ![]() The 1-year mortality rate after femoral intertrochanteric fracture is higher than that of femoral neck fracture, which also belongs to hip fracture (Cui et al.
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