• Henk Jan Schuijt, Jelle Bos, Diederik Pieter Johan Smeeing, Olivia Geraghty, and Detlef van der Velde.
• Department of Surgery, Sint Antonius Hospital, Nieuwegein, Postbus 2500, 3430 EM, Utrecht, The Netherlands. h.schuijt@antoniusziekenhuis.nl.
• Eur J Trauma Emerg Surg. 2021 Jun 1; 47 (3): 817-823.

PurposeOrthogeriatric trauma patients are at risk for functional decline and mortality. It is important to identify high-risk patients in an early stage, to improve outcomes and make better informed treatment decisions. The aim of this study was to identify independent risk factors for 30-day mortality in patients aged 85 years or above admitted from the emergency department with a fracture.MethodsAll orthopaedic trauma patients 85 years or above admitted from the emergency department were included. After a 30-day follow-up, mortality was determined by consulting the patient records. Multivariable logistics regression analysis generated odd ratios for mortality risk factors. A subgroup analysis was performed for patients undergoing hip fracture surgery.ResultsThe 30-day mortality in geriatric fracture patients admitted to the hospital was 12%. Risk factors for 30-day mortality were: increased age, male sex, decreased hemoglobin levels, living in an institutional care facility and a decreased BMI. For geriatric patients undergoing hip fracture surgery 30-day mortality was 11%. Independent risk factors for this group were: increased age, male sex, and a decreased BMI.ConclusionOrthopaedic trauma patients aged 85 years or above who are admitted to the hospital with a fracture are at high risk for mortality. This study identified older age, male sex, and decreased BMI as predictors of 30-day mortality in admitted geriatric fracture patients and in geriatric hip fracture patients undergoing surgery.

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