Hip fracture among elderly people: a single cohort study from Kurdistan of Iraq

Asso Amin, Hersh Haider Hama Ali, Saman Anwar Faraji, Sara Noori Ghafoor, Saman Hama Shareef, Saman Sadeq, Soran Noori, Khalid Anwar Hama Ghareeb, Mohammed Ibrahim Mohialdeen Gubari

Asso Amin
College of Medicine -University of Suleymaniye, Ministry of Higher Education-Iraq

Hersh Haider Hama Ali
Department of Medicine Directorate of Health of Suleymaniye, Ministry of Health-Iraq

Saman Anwar Faraji
College of Medicine -University of Suleymaniye, Ministry of Higher Education-Iraq

Sara Noori Ghafoor
Department of Medicine Directorate of Health of Suleymaniye, Ministry of Health-Iraq

Saman Hama Shareef
Department of Orthopaedic Surgery, Directorate of Health Suleymaniye, Ministry of Health-Iraq

Saman Sadeq
Department of Orthopaedic Surgery, Directorate of Health Suleymaniye, Ministry of Health-Iraq

Soran Noori
Department of Orthopaedic Surgery, Directorate of Health Suleymaniye, Ministry of Health-Iraq

Khalid Anwar Hama Ghareeb
Research Department, General Directorate of Health, Suleymaniye, Iraq

Mohammed Ibrahim Mohialdeen Gubari
Department of Family and Community Medicine, College of Medicine, University of Suleymaniye, Kurdistan – Iraq. Email: mohammed.jubari@gmail.com
Online First: December 01, 2020 | Cite this Article
Amin, A., Ali, H., Faraji, S., Ghafoor, S., Shareef, S., Sadeq, S., Noori, S., Ghareeb, K., Gubari, M. 2020. Hip fracture among elderly people: a single cohort study from Kurdistan of Iraq. Bali Medical Journal 9(3): 934-939. DOI:10.15562/bmj.v9i3.1970

Background: Hip fracture is considered a major health problem worldwide. The current study aimed to investigate hip fracture characteristics among older people in Iraq and factors involving postoperative mortality.

Method: A single cohort study was carried out in Sulaimani and Shar Teaching hospitals in Sulaimani from the 1st of July 2018 to 30th of June 2019.  Hip fracture was diagnosed by a specialist physician using an X-Ray. The data was collected by the researcher through direct interviews and filling a prepared uniform questionnaire. The data analyzed by SPSS and p-value<0.05 was significant.

Results: From the total of 100 hip fracture patients included, the average age of patients was 74.45±8.18 years. Fifty-nine patients aged 60 to 75 years, while the rest were older than 75 years. Female consisted of 59.0% of the total samples. Non-mechanical falls accounted for (84%) of all falls. Most patients had intertrochanteric fractures (65%), while 35% had femoral neck fractures. The Proximal femoral nail (PFN) operation was the primary type of operation (77%) performed. Most patients (94%) were discharged after two days. There was a significant association between gender and postoperative mortality; female patients had worse prognosis and higher mortality, relative risk (95%CI) 0.18 (0.0424 to 0.7788). Older patients aged 75 and more had a remarkably poorer prognosis than younger patients, relative risk (95%CI) 0.30 (0.10 to 0.93). There was a strong relationship between poor cognitive function (moderate to severe depression) and postoperative mortality rate with relative risk (95%CI) 0.04 (0.006 to 0.36). Finally, patients on three or more medications also had an outstanding worse prognosis, relative risk (95%CI) 0.022 (0.001 to 0.37).

Conclusion: Hip fracture was more common among women and people aged above 75 years. The prevalence of intertrochanteric fractures was nearly double the femoral neck fractures. Age, female, depression, and polypharmacy had a statistically significant association with three-month mortality in hip fracture patients.


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