Complications after conservative treatment of hip fracture in elderly patients at Kaengkhro Hospital, Chaiyaphum Province

Abstract

Background: Thailand will develop into fully aging society in the next decade. The rapid increase in the proportion of the elderly will increase the prevalence of hip fractures in Thailand in the future. Despite standard treatment is surgery, but sometimes conservative treatment is still a treatment method used in many situations.

Objective: The aim of this study was to evaluate incidence of complications after conservative treatment of hip fracture in elderly patients at Kaengkhro hospital, Chaiyaphum province.

Material and methods: A retrospective chart review was performed on patients with age >60 and diagnosed with femoral neck fracture or intertrochanteric fracture from low-energy trauma at Kaengkhro hospital during January 2015 to January 2019. To study incidence of complications after conservative treatment until 1 year of treatment

Results: Incidence of hip fracture in elderly patients has 132. Eighty-two (62.1%) were received conservative treatment, seventy were admission and twelve refused to admission. During admission period revealed complications in thirty patients (42.8%), the most complication was pressure sore in ten patients (14.3%). Eight death (11.4%) were record during admission. After 1 year follow-up, revealed complications in fifty patients (60.9%), the most complication was pressure sore in thirty patients (40.5%). 1-year mortality rate was 58.5. The most ambulation status at 1 year follow-up were ambulate with wheelchair in thirty patients (88.2%).

Conclusion: After conservative treatment of hip fracture in elderly patients in 1 year follow-up revealed the most complication was pressure sore with incidence of complications and mortality rate around 60 percent and all of still alive patients ambulate with wheelchair.