• Khalid A Alsheikh, Firas M Alsebayel, Faisal Abdulmohsen Alsudairy, Abdullah Alzahrani, Ali Alshehri, Faisal Ahmed Alhusain, Abdullah Alsaeed, Abdulaziz Almubarak, and Ali A Alhandi.
• From the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
• Ann Saudi Med. 2020 Jul 1; 40 (4): 298-304.

BackgroundHip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications.ObjectivesAssess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality.DesignMedical record review.SettingTertiary care center.Patients And MethodsAll patients 60 years o age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files.Main Outcome MeasuresThe 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality.Sample Size802 patients.ResultsThe majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications (P=.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures.LimitationSingle-centered study.Conflict Of InterestNone.

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