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- Title
Open ankle fractures in the elderly: predisposing factors and the associated mortality.
- Authors
Schermann, Haggai; Ogawa, Takahisa; Lubberts, Bart; Waryasz, Gregory R.; Kaiser, Philip; DiGiovanni, Christopher W.; Guss, Daniel
- Abstract
The purpose of this study was to investigate the independent effect of open ankle fractures on postoperative mortality and to identify factors leading to open ankle fractures in the elderly population. This is a retrospective case–control study of 1,045 patients aged 65 years and older, with ankle fractures undergoing surgical fixation between 2010 and 2020 at three medical centers (Levels 1–2). A logistic regression analysis was used to identify risk factors for open fractures. Propensity score matching and survival analysis were used to measure the hazard of mortality attributable to open versus closed ankle fractures. There were 128 (12.2%) patients with open ankle fractures. Patients with open ankle fractures were more likely to be older, to be active smokers (OR = 1.7, p = 0.049), and tended to have a higher number of medical comorbidities including hypertension (OR = 2, p = 0.006) and chronic kidney disease (OR = 2.9, p = 0.005). Open ankle fractures were, independently of comorbid conditions and age, associated with higher risk of mortality (HR = 1.7, p = 0.03).
- Subjects
MORTALITY risk factors; RISK assessment; CLOSED fractures; ACADEMIC medical centers; FRACTURE fixation; LOGISTIC regression analysis; PROBABILITY theory; HYPERTENSION; SMOKING; COMPOUND fractures; SYMPTOMS; SEVERITY of illness index; RETROSPECTIVE studies; DESCRIPTIVE statistics; AGE distribution; SURGICAL complications; ODDS ratio; CHRONIC kidney failure; CASE-control method; MEDICAL records; ACQUISITION of data; ANKLE fractures; COMPARATIVE studies; SURVIVAL analysis (Biometry); DISEASE complications; OLD age
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2024, Vol 34, Issue 6, p3015
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-024-04016-3