{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:21:48Z","timestamp":1789575708374,"version":"build-2803163510"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"\n Background:<\/jats:title>\n Intertrochanteric fracture is very common in elderly patients, It is one of the main reasons for the elderly to be hospitalized, and is closely related to the mortality rate. With the speeding up of the population aging, the treatment of intertrochanteric fracture is becoming more and more significant. PFNA (Proximal femoral nail antirotation) is the most commonly used surgical method, although the surgical technique has improved a lot, the postoperative mortality rate after one year is still high. If we can take active and effective control measures against the high-risk factors affecting mortality in time, it will help to improve the prognosis.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n To study the 1-year postoperative mortality rate of elderly patients with intertrochanteric fractures after being treated with proximal femoral nail antirotation (PFNA) and its influencing factors.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods:<\/jats:title>\n The data of patients with intertrochanteric fracture treated by PFNA in our hospital during the period from August 2016 to April 2020 were retrospectively studied, and the data of age, sex, type of fracture, preoperative comorbid diseases, American Society of Anesthesiology (ASA) score, the timing of the operation, duration of operation, preoperative and postoperative hemoglobin levels, albumin level, and postoperative complications were collected through medical records, and the survival rate of patients in 1 year after operation was investigated by telephone follow-up, and single-factor analysis was carried out to analyze related influencing factors.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 80 patients with complete data were followed up for 1\u201323 months (mean 12.5 months), and totally 22 patients died within 1 year, the mortality rate was 27.5%. Single analysis results suggested that the differences in factors such as age, number of preoperative combined diseases, ASA score, preoperative and postoperative albumin levels, and postoperative complications between the survival group and the death group were statistically significant (\n P<\/jats:italic>\n < 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The risk factors affecting long-term death in the treatment of intertrochanteric fractures in elderly patients with PFNA shall be taken into consideration fully, and the improvement of preoperative and postoperative health status will help to reduce the postoperative mortality and improve the efficacy of surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/njcp.njcp_109_22","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T13:57:08Z","timestamp":1663855028000},"page":"1557-1562","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Analysis of One-year Postoperative Mortality and Risk Factors of Elderly Patients with Intertrochanteric Fractures after PFNA"],"prefix":"10.4103","volume":"25","author":[{"given":"J","family":"Gu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-26-20240907","first-page":"64","article-title":"Hip fracture mortality: Differences between intertrochanteric and femoral neck fractures","volume":"27","author":"Frisch","year":"2018","journal-title":"J Surg Orthop Adv"},{"key":"R2-26-20240907","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.ocl.2015.06.001","article-title":"Arthroplasty for pertrochanteric hip fractures","volume":"46","author":"M\u00e4kinen","year":"2015","journal-title":"Orthop Clin North Am"},{"key":"R3-26-20240907","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1186\/s13018-018-0911-1","article-title":"The relationship between the type of unstable intertrochanteric femur fracture and mobility in the elderly","volume":"13","author":"Karakus","year":"2018","journal-title":"J Orthop Surg Res"},{"key":"R4-26-20240907","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1016\/j.injury.2018.04.014","article-title":"Orthogeriatric co-management-managing frailty as well as fragility","volume":"49","author":"Pioli","year":"2018","journal-title":"Injury"},{"key":"R5-26-20240907","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.medcli.2013.07.033","article-title":"Effectiveness of co-management between orthopaedic surgeons and internists for inpatient elders with hip fracture","volume":"143","author":"Lizaur-Utrilla","year":"2014","journal-title":"Med Clin"},{"key":"R6-26-20240907","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1093\/bja\/aex148","article-title":"Prediction of postoperative mortality in elderly patients with hip fracture: Are specific and geriatric scores better than general scores?","volume":"118","author":"Boddaert","year":"2017","journal-title":"Br J Anaesth"},{"key":"R7-26-20240907","doi-asserted-by":"crossref","first-page":"2046","DOI":"10.1111\/j.1532-5415.2009.02492.x","article-title":"The relationship between short-term mortality and quality of care for hip fracture: a meta-analysis of clinical pathways for hip fracture","volume":"57","author":"Neuman","year":"2009","journal-title":"J Am Geriatr Soc"},{"key":"R8-26-20240907","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1136\/bmj.38643.663843.55","article-title":"Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: Prospective observational cohort study","volume":"331","author":"Roche","year":"2005","journal-title":"BMJ"},{"key":"R9-26-20240907","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/s10654-007-9211-5","article-title":"Chronic obstructive pulmonary disease and mortality following hip fracture: A population-based cohort study","volume":"23","author":"Luise","year":"2008","journal-title":"Eur J Epidemiol"},{"key":"R10-26-20240907","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/BOT.0000000000001081","article-title":"Increasing severity of malnutrition is associated with poorer 30-day outcomes in patients undergoing hip fracture surgery","volume":"32","author":"Chung","year":"2018","journal-title":"J Orthop Trauma"},{"key":"R11-26-20240907","first-page":"137","article-title":"The risk factors for mortality in elderly patients with hip fractures: Postoperative one-year results","volume":"51","author":"Ozt\u00fcrk","year":"2010","journal-title":"Singapore Med J"},{"key":"R12-26-20240907","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1177\/088506668900400503","article-title":"Multiple system organ failure in the adult respiratory distress syndrome","volume":"4","author":"Heyman","year":"2016","journal-title":"J Int Care Med"},{"key":"R13-26-20240907","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1302\/0301-620X.94B5.28933","article-title":"Causes and predictors of early re-admission after surgery for a fracture of the hip","volume":"94","author":"Khan","year":"2012","journal-title":"J Bone Joint Surg Br"},{"key":"R14-26-20240907","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.maturitas.2016.12.009","article-title":"Gender differences in the incidence of and risk factors for hip fracture: A 16-year longitudinal study in a southern European population","volume":"97","author":"Lobo","year":"2017","journal-title":"Maturitas"},{"key":"R15-26-20240907","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1111\/jgs.15207","article-title":"Does the association of comorbidity with 1-year mortality after hip fracture differ according to gender? The Norwegian epidemiologic osteoporosis studies (NOREPOS)","volume":"66","author":"Riska","year":"2018","journal-title":"J Am Geriatr Soc"},{"key":"R16-26-20240907","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00264-017-3643-7","article-title":"Prolonged pre-operative hospital stay as a predictive factor for early outcomes and mortality after geriatric hip fracture surgery: A single institution open prospective cohort study","volume":"42","author":"Tulic","year":"2018","journal-title":"Int Orthop"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_109_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:15:01Z","timestamp":1787757301000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_109_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_109_22","relation":{},"ISSN":["1119-3077"],"issn-type":[{"value":"1119-3077","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}