Geriatric patients with dementia show increased mortality and lack of functional recovery after hip fracture treated wit
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ORIGINAL ARTICLE
Geriatric patients with dementia show increased mortality and lack of functional recovery after hip fracture treated with hemiprosthesis Konrad Schuetze1 · Alexander Eickhoff1 · Kim‑Sarah Rutetzki1 · Peter H. Richter1 · Florian Gebhard1 · Christian Ehrnthaller2 Received: 14 April 2020 / Accepted: 21 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Operative timing, perioperative management and postoperative rehabilitation are rising challenges in orthopedic geriatric trauma. The aim of this study was to determine the outcome of patients with dementia or with a high number of comorbidities treated with hemiprosthesis after hip fracture. Literature regarding patients with high comorbidities is scarce, leaving nothing but endoprosthetic treatment for even the sickest, immobile patients. Methods A retrospective chart review of 326 patients (mean age 81 ± 9 years; 230 women and 96 men) with hip fractures treated between 2012 and 2017 with a hemiprosthesis was performed. Primary outcome measures were surgical and nonsurgical complication rates, best achievable mobilisation during the hospital stay and mortality. Results Patients with dementia had 20-fold increased risk to be bedridden after surgery and ninefold increased risk of dying (p
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