Acta Chir Orthop Traumatol Cech. 2026; 93(2):67-71

The Effect of Bone Minerals Density on Mortality of Elderly Patients Applying with a Proximal Fracture of the FemurPůvodní práce

ŞEYHMUS YIĞIT1, EMIN OZKUL1, NESIM ÇEVIK1, AYHAN KAYDU2, AYSEGÜL YIGIT3
1 Department of Orthopaedic Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
2 Department of Anesthesia and Reanimation, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
3 Department of Family Medicine, Dicle University Faculty of Medicine, Diyarbakir, Turkey

Purpose of the study
This study aimed to evaluate the risk of mortality in elderly hip fracture patients within one year after surgery, and to compare it with DXA values and to evaluate the predictive value of DXA values.

Material and methods
This is a prospective study including data from 160 elderly hip fracture patients treated in our hospital. The patient data included the following; DXA values of spine, neck, intertrochanteric, total and ward‘s T-scores, age, blood values (preoperative CRP (mg/dl), CRP/Albumin ratio, albumin (g/dl), sex, creatine value (mg/dL), American Society of Anesthesiologists (ASA) scores, and type of surgery.

Results
The risk of mortality was 5.06 times higher in patients with neck DXA values ≤ -2.2 cut-off value (DXA values of neck odds ratio (OR) = 5.06, 95%CI: 544-.723, P: 0.02). There was a statistically significant difference between the DXA values of spine, intertrochanteric,  wards, creatine, and albumin values between the groups (respectively p = 0.002, p = 0.005, p = 0.01, p = 0.003, and p = 0.01)

Conclusions
Biomarkers to assess mortality one year postoperatively in elderly patients undergoing surgery for hip fracture are lacking. The mortality rate was found to be 5.06 times higher in patients with DXA values of neck ≤ -2.2 cut-off. Severe osteoporosis is a disease with high mortality. The initiation of osteoporosis treatment should be started earlier.

Klíčová slova: Key words: hip fracture, DXA values of neck, mortality, elderly patients.

Vloženo: 21. říjen 2025; Revidováno: 21. říjen 2025; Přijato: 17. leden 2026; Zveřejněno: 1. květen 2026  Zobrazit citaci

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YIĞIT Ş, OZKUL E, ÇEVIK N, KAYDU A, YIGIT A. The Effect of Bone Minerals Density on Mortality of Elderly Patients Applying with a Proximal Fracture of the Femur. Acta Chir Orthop Traumatol Cech. 2026;93(2):67-71.
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