{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:29:43Z","timestamp":1763465383870,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: In this study, we aimed to evaluate the factors which affect postoperative mortality in elderly patients with hip fractures and the reliability of the American Society of Anesthesiologists (ASA) classification. \\r\\nMethods: The study included 107 patients (70 females, 37 males) of 65 years of age or older who were operated due to hip fracture. Preoperative laboratory and clinical data were collected from hospital files. Follow-up was conducted over the phone. The number of the patients who died in the first postoperative 12 months was compared with the official Turkish Statistical Institute mortality data. Preoperative clinical and laboratory findings and ASA scores were compared between surviving and deceased patients. \\r\\nResults: Twenty-eight patients died in the postoperative first year. The first year mortality rate was significantly higher than the normal population (p&lt;0.05). Of these 28 patients, 16 died within the first 3 months; the majority due to respiratory insufficiency. The death ratio was significantly higher in patients with abnormal creatinine values (p=0.001) in the preoperative laboratory results and classified as ASA 4 (p&lt;0.0001). Postoperative mobilization was slower and mortality was higher in patients with cognitive dysfunction, such as senile dementia. \\r\\nConclusion: The mortality rate in patients operated for hip fractures is higher when compared to the mortality rate in patients of the same age group. Because most deaths caused by pulmonary insufficiency occurred in the first 3 months in which patients were not adequately mobilized, the main cause of death might be pulmonary embolism. Abnormal creatinine values might indicate insufficient kidney function as another reason of death. ASA classification is useful for determination of preoperative risk in the elderly patients with hip fractures.\n\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 kal\u00e7a k\u0131r\u0131\u011f\u0131 olan ya\u015fl\u0131 hastalarda ameliyat sonras\u0131 mortaliteyi etkileyen fakt\u00f6rleri ve ASA (American Society of Anesthesiologists) s\u0131n\u0131flamas\u0131n\u0131n g\u00fcvenilirli\u011fini de\u011ferlendirmekti.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Kal\u00e7a k\u0131r\u0131\u011f\u0131 nedeniyle ameliyat edilen 65 ya\u015f\u0131nda veya daha b\u00fcy\u00fck 107 hasta (70 kad\u0131n, 37 erkek) \u00e7al\u0131\u015fmaya dahil edildi. Hastalar\u0131n ameliyat \u00f6ncesi laboratuvar ve klinik verileri hasta dosyalar\u0131ndan derlenirken, takipleri telefon konu\u015fmas\u0131 ile ger\u00e7ekle\u015ftirildi. Ameliyat sonras\u0131 ilk 12 ay i\u00e7inde \u00f6len hasta say\u0131s\u0131 T\u00fcrkiye \u0130statistik Kurumu resmi \u00f6l\u00fcm oranlar\u0131 ile k\u0131yasland\u0131. Sa\u011f kalan ve \u00f6len hastalar\u0131n ameliyat \u00f6ncesi klinik ve laboratuvar bulgular\u0131 ile ASA skorlar\u0131 kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. \\r\\nBulgular: Yirmi sekiz hastan\u0131n ilk bir y\u0131l i\u00e7erisinde \u00f6ld\u00fc\u011f\u00fc saptand\u0131. \u0130lk y\u0131l \u00f6l\u00fcm oran\u0131 normal n\u00fcfusa g\u00f6re anlaml\u0131 derecede y\u00fcksekti (p&lt;0.05). Yirmi sekiz hastan\u0131n 16\u2019s\u0131 ilk \u00fc\u00e7 ay i\u00e7erisinde, \u00e7o\u011funlu\u011fu solunum yetmezli\u011fi nedeniyle kaybedildi. Ameliyat \u00f6ncesi laboratuvar sonu\u00e7lar\u0131nda kreatinin de\u011ferleri anormal olan hastalar ile (p=0.001) ASA 4 olarak s\u0131n\u0131flanan hastalarda (p&lt;0.0001) \u00f6l\u00fcm oran\u0131 anlaml\u0131 derecede y\u00fcksekti. Senil demans gibi zihinsel i\u015flev kayb\u0131 olan hastalarda ameliyat sonras\u0131 mobilizasyonun daha yava\u015f, \u00f6l\u00fcm oran\u0131n\u0131n da y\u00fcksek oldu\u011fu saptand\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: Kal\u00e7a k\u0131r\u0131\u011f\u0131 nedeniyle ameliyat edilen hastalarda \u00f6l\u00fcm oran\u0131, ayn\u0131 ya\u015f grubu hastalardakinden daha y\u00fcksektir. \u00c7o\u011fu \u00f6l\u00fcmlerin hastan\u0131n mobilizasyonunun tam sa\u011flanamad\u0131\u011f\u0131 ilk 3 ayda ortaya \u00e7\u0131kmas\u0131 ve ba\u015fl\u0131ca \u00f6l\u00fcm nedeninin solunum yetmezli\u011finin olmas\u0131, altta yatan sebebin pulmoner emboli olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir. \u00d6len hastalarda anormal kreatinin de\u011ferleri de ikinci \u00f6nemli neden olarak b\u00f6brek i\u015flev bozuklu\u011funa i\u015faret etmektedir. ASA s\u0131n\u0131flamas\u0131 kal\u00e7a k\u0131r\u0131\u011f\u0131 olan ya\u015fl\u0131 hastalarda ameliyat \u00f6ncesi riskin belirlenmesinde faydal\u0131 bir \u00f6l\u00e7\u00fctt\u00fcr.<\/jats:p>","DOI":"10.3944\/aott.2012.2829","type":"journal-article","created":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T03:50:13Z","timestamp":1361764213000},"page":"425-429","source":"Crossref","is-referenced-by-count":10,"title":["Preoperative indicators affecting postoperative mortality in elderly patients with hip fractures"],"prefix":"10.5152","volume":"46","author":[{"given":"Hasan","family":"Bombaci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozgur","family":"Erdogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatih","family":"Cetinkaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Kuyumcu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Kaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elif","family":"Bombac\u0131","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2661\/2616","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:25:59Z","timestamp":1763465159000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2661"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2012,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2829","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}