{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:55:07Z","timestamp":1787957707430,"version":"build-2784847793"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T00:00:00Z","timestamp":1706918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T00:00:00Z","timestamp":1706918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Carl Gustav Carus Dresden an der Technischen Universit\u00e4t Dresden"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Geriatr"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Despite improving the management of proximal femur fractures (PFF) with legal requirements of timing the surgery within 24\u00a0h, mortality rates in these patients remain still high. The objective of our study was to analyze potential cofactors which might influence the mortality rate within 90 days after surgery in PFF to avoid adverse events, loss of quality of life and high rates of mortality.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this retrospective, single-center study all patients with PFF aged 65 years and older were included. We recorded gender, age, type of fracture, surgery and anesthesia, time, comorbidities and medication as well as complications and mortality rate at 90 days. Separate logistic regression models were used to assess which parameters were associated with patients\u2019 mortality. The mortality rate was neither associated with timing, time and type of surgery nor time and type of anesthesia, but with higher age (OR 1.08 per year; 95% CI 1.034\u20131.128), lower BMI (OR 0.915 per kg\/m<jats:sup>2<\/jats:sup>; 95% CI 0.857\u20130.978), higher CCI (OR 1.170 per point; 95% CI 1.018\u20131.345), dementia (OR 2.805; 95% CI 1.616\u20134.869), non-surgical complications (OR 2.276; 95% CI 1.269\u20134.083) and if mobilization was impossible (OR 10.493; 95% CI 3.612\u201330.479).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We analyzed a total of 734 patients (age\u2009\u2265\u200965 years) who had a PFF in 2019 and 2020 and received surgery. 129 patients (17.6%) died until 90 days at an median age of 89.7 years (range 65\u2013101 years).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The proportion of patients who died until 90 days after surgery is still high. It is less extend influenced by surgical and anaesthesiologic factors than by patient-related factors like age or lower BMI. Physicians should be aware of the importance of avoiding adverse events and the importance of patients\u2019 mobilization to reduce mortality and improve patients\u2019 outcome.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12877-024-04733-8","type":"journal-article","created":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T17:02:13Z","timestamp":1706979733000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Patients risk for mortality at 90 days after proximal femur fracture \u2013 a retrospective study in a tertiary care hospital"],"prefix":"10.1186","volume":"24","author":[{"given":"Anne","family":"Postler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Posten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Schubert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Beyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"L\u00fctzner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Vicent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Kleber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Goronzy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konrad","family":"Kamin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,3]]},"reference":[{"issue":"40","key":"4733_CR1","first-page":"665","volume":"118","author":"M Rupp","year":"2021","unstructured":"Rupp M, Walter N, Pfeifer C, Lang S, Kerschbaum M, Krutsch W, Baumann F, Alt V. 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Due to the retrospective evaluation of routine medical data without any influence on treatment, no informed consent was necessary, according to \u00a7\u00a029 paragraph 1 of the saxony hospital act (S\u00e4chsisches Krankenhausgesetz). This section allows hospital staff to analyze routine patient data for research purposes without prior informed consent. This was confirmed by the Ethics Committee.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"AP is leading part of the ComGen board of the German Arthroplasty Society (AE) and received support of Mathys and B. Braun Aesculap. CK received grants from the ADAC Stiftung - advancement in eCall, participates on the advisory board of CSL Behring- Fibrogrammin advisory board, Johnson& Johson-advisory board trauma and Siemens Health Care - Imagingin Trauma and is leading part of AO Trauma Germany. JL received grants from B.Braun Aesculap, Link, Mathys, Smith&Nephew and ZimmerBiomet, participates in the advisory board of the German Arthroplasty Society (AE) and German Arthroplasty Registry (EPRD) and is leading part of the German Arthroplasty Society (AE) and German Arthroplasty Registry (EPRD).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"130"}}