{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T20:40:29Z","timestamp":1778964029056,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Distal femur fractures remain a significant cause of morbidity and mortality for elderly patients. There is a lack of large population studies investigating short\u2010term outcomes after distal femur c in elderly patients. The purpose of this study is to assess the incidence of and risk factors for various short\u2010term outcomes after distal femur open reduction internal fixation (ORIF) in the geriatric population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The American College of Surgeons\u2019 National Surgical Quality Improvement Program (NSQIP) database was used to identify all primary distal femur ORIF cases in patients 60+ years old between January 1, 2015 and December 31, 2020 using Current Procedural Terminology (CPT) codes 27511, 27513, and 27514. Demographic, medical, and surgical variables were extracted for all patients. Propensity score matching was used to match cases in the two age groups based on various demographic and medical comorbidity variables. Several 30\u2010day outcome measures were compared between the 60\u201379\u2010year\u2010old and 80+\u2010year\u2010old groups both before and after matching. Subsequent multivariate logistic regression was used to identify independent risk factors for 30\u2010day outcome measures in the matched cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2913 patients were included in the final cohort: 1711 patients in the 60\u201379\u2010year\u2010old group and 1202 patients in the 80+\u2010year\u2010old group. Most patients were female (<jats:italic>n<\/jats:italic>\u2009=\u20092385; 81.9%). Prior to matching, the older group had a higher incidence of 30\u2010day mortality (1.9% vs. 6.2%), readmission (3.7% vs. 9.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.024), and non\u2010home discharge (74.3% vs. 89.5%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Additionally, the older group had a higher rate of blood loss requiring transfusion (30.9% vs. 42.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and medical complications (10.4% vs. 16.4%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), including myocardial infarction (0.7% vs. 2.7%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), pneumonia (2.7% vs. 4.6%, <jats:italic>p<\/jats:italic>\u2009=\u20090.008), and urinary tract infection (4.1% vs. 6.1%, <jats:italic>p<\/jats:italic>\u2009=\u20090.0188). After matching, the older group consistently had a higher incidence of mortality, non\u2010home\u2010discharge, blood loss requiring transfusion, and myocardial infarction. Various independent risk factors were identified for 30\u2010day morbidity and mortality, including American Society of Anesthesiologists (ASA) classification, body mass index (BMI) status, operative duration, and certain medical comorbidities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Geriatric patients undergoing distal femur ORIF are at significant risk for 30\u2010day morbidity and mortality. After matching, octogenarians and older patients specifically are at increased risk for mortality, non\u2010home discharge, and surgical complications compared to patients aged 60\u201379\u2009years old. Multiple factors, such as BMI status, ASA classification, operative time, and certain medical comorbidities, are independently associated with poor 30\u2010day outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14124","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T06:04:14Z","timestamp":1717567454000},"page":"1665-1672","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Short\u2010Term Morbidity and Mortality after Distal Femur Open Reduction Internal Fixation in the Geriatric Population"],"prefix":"10.1111","volume":"16","author":[{"given":"Jasmin","family":"Vargas","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1837-4639","authenticated-orcid":false,"given":"Mark A.","family":"Plantz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik B.","family":"Gerlach","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Compton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennings","family":"Dooley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clayton","family":"Welsh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern 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