Akademik Veri Yönetim Sistemi
EUROPEAN JOURNAL OF GERIATRICS AND GERONTOLOGY, cilt.4, sa.2, ss.52-57, 2022 (ESCI)
Objective: Knowledge of the frequency of geriatric fracture types and independency life rates will provide insights on its prevention in the community. Our study aimed to determine the effect of fracture types on the loss of activity daily living and mortality with a one-year follow-up.Materials and Methods: This study included a total of 522 patients (>65 years of age) with extremity and axial skeletal fractures. Fractures were classified according to location into 17 types. The incidence of the fracture types, hospitalization and operation rates in geriatric fractures were defined. Barthel and Katz indexes were evaluated for Basic activity daily living scale (BADLs) at the final control. The relationship between fracture types and mortality and decrease of BADLs was determined.Results: The mean age of the patients was 76.24 +/- 7.6 (range: 65-96) and the female-to-male ratio was 7/3. Four fracture types which constitute 60% of the fractures were noted: Hip fracture (29.5%), vertebra fracture (7%), distal radius fracture (16%), and proximal humerus (8%). The mortality was noted in 21% of the patients. Mortality ratio and BADLs were statistically different according to the fracture types. The hip, vertebra, and femur fractures had lower Barthel index compared to other fractures.Conclusion: High functional dependency and mortality were found in the patients with geriatric fracture, especially in the hip, femur and vertebra fractures. The patients have upper extremity fractures can reach the highest value of BADLs at one-year follow-up.