The Effect of Thyroid Disorders on Mortality and Clinical Outcomes in Geriatric Hip Fractures
INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and...
Ausführliche Beschreibung
Autor*in: |
Olgun Bingöl [verfasserIn] Güzelali Özdemir [verfasserIn] Burak Kulakoğlu [verfasserIn] Taner Karlıdağ [verfasserIn] Enver Kılıç [verfasserIn] Fatih İnci [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Türkisch |
Erschienen: |
2022 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Boğaziçi Tıp Dergisi - Kare Publishing, 2020, 9(2022), 4, Seite 248-252 |
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Übergeordnetes Werk: |
volume:9 ; year:2022 ; number:4 ; pages:248-252 |
Links: |
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DOI / URN: |
10.14744/bmj.2022.42204 |
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Katalog-ID: |
DOAJ100770312 |
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520 | |a INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. | ||
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10.14744/bmj.2022.42204 doi (DE-627)DOAJ100770312 (DE-599)DOAJ99fa7186884646c586f40cbdc9e6de3b DE-627 ger DE-627 rakwb eng tur Olgun Bingöl verfasserin aut The Effect of Thyroid Disorders on Mortality and Clinical Outcomes in Geriatric Hip Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. geriatric hip fractures intensive care unit length of stay mortality thyroid dysfunction. Medicine R Güzelali Özdemir verfasserin aut Burak Kulakoğlu verfasserin aut Taner Karlıdağ verfasserin aut Enver Kılıç verfasserin aut Fatih İnci verfasserin aut In Boğaziçi Tıp Dergisi Kare Publishing, 2020 9(2022), 4, Seite 248-252 (DE-627)1735239631 21490287 nnns volume:9 year:2022 number:4 pages:248-252 https://doi.org/10.14744/bmj.2022.42204 kostenfrei https://doaj.org/article/99fa7186884646c586f40cbdc9e6de3b kostenfrei https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-42204 kostenfrei https://doaj.org/toc/2149-0287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 4 248-252 |
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10.14744/bmj.2022.42204 doi (DE-627)DOAJ100770312 (DE-599)DOAJ99fa7186884646c586f40cbdc9e6de3b DE-627 ger DE-627 rakwb eng tur Olgun Bingöl verfasserin aut The Effect of Thyroid Disorders on Mortality and Clinical Outcomes in Geriatric Hip Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. geriatric hip fractures intensive care unit length of stay mortality thyroid dysfunction. Medicine R Güzelali Özdemir verfasserin aut Burak Kulakoğlu verfasserin aut Taner Karlıdağ verfasserin aut Enver Kılıç verfasserin aut Fatih İnci verfasserin aut In Boğaziçi Tıp Dergisi Kare Publishing, 2020 9(2022), 4, Seite 248-252 (DE-627)1735239631 21490287 nnns volume:9 year:2022 number:4 pages:248-252 https://doi.org/10.14744/bmj.2022.42204 kostenfrei https://doaj.org/article/99fa7186884646c586f40cbdc9e6de3b kostenfrei https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-42204 kostenfrei https://doaj.org/toc/2149-0287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 4 248-252 |
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10.14744/bmj.2022.42204 doi (DE-627)DOAJ100770312 (DE-599)DOAJ99fa7186884646c586f40cbdc9e6de3b DE-627 ger DE-627 rakwb eng tur Olgun Bingöl verfasserin aut The Effect of Thyroid Disorders on Mortality and Clinical Outcomes in Geriatric Hip Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. geriatric hip fractures intensive care unit length of stay mortality thyroid dysfunction. Medicine R Güzelali Özdemir verfasserin aut Burak Kulakoğlu verfasserin aut Taner Karlıdağ verfasserin aut Enver Kılıç verfasserin aut Fatih İnci verfasserin aut In Boğaziçi Tıp Dergisi Kare Publishing, 2020 9(2022), 4, Seite 248-252 (DE-627)1735239631 21490287 nnns volume:9 year:2022 number:4 pages:248-252 https://doi.org/10.14744/bmj.2022.42204 kostenfrei https://doaj.org/article/99fa7186884646c586f40cbdc9e6de3b kostenfrei https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-42204 kostenfrei https://doaj.org/toc/2149-0287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 4 248-252 |
allfieldsGer |
10.14744/bmj.2022.42204 doi (DE-627)DOAJ100770312 (DE-599)DOAJ99fa7186884646c586f40cbdc9e6de3b DE-627 ger DE-627 rakwb eng tur Olgun Bingöl verfasserin aut The Effect of Thyroid Disorders on Mortality and Clinical Outcomes in Geriatric Hip Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. geriatric hip fractures intensive care unit length of stay mortality thyroid dysfunction. Medicine R Güzelali Özdemir verfasserin aut Burak Kulakoğlu verfasserin aut Taner Karlıdağ verfasserin aut Enver Kılıç verfasserin aut Fatih İnci verfasserin aut In Boğaziçi Tıp Dergisi Kare Publishing, 2020 9(2022), 4, Seite 248-252 (DE-627)1735239631 21490287 nnns volume:9 year:2022 number:4 pages:248-252 https://doi.org/10.14744/bmj.2022.42204 kostenfrei https://doaj.org/article/99fa7186884646c586f40cbdc9e6de3b kostenfrei https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-42204 kostenfrei https://doaj.org/toc/2149-0287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 4 248-252 |
allfieldsSound |
10.14744/bmj.2022.42204 doi (DE-627)DOAJ100770312 (DE-599)DOAJ99fa7186884646c586f40cbdc9e6de3b DE-627 ger DE-627 rakwb eng tur Olgun Bingöl verfasserin aut The Effect of Thyroid Disorders on Mortality and Clinical Outcomes in Geriatric Hip Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. geriatric hip fractures intensive care unit length of stay mortality thyroid dysfunction. Medicine R Güzelali Özdemir verfasserin aut Burak Kulakoğlu verfasserin aut Taner Karlıdağ verfasserin aut Enver Kılıç verfasserin aut Fatih İnci verfasserin aut In Boğaziçi Tıp Dergisi Kare Publishing, 2020 9(2022), 4, Seite 248-252 (DE-627)1735239631 21490287 nnns volume:9 year:2022 number:4 pages:248-252 https://doi.org/10.14744/bmj.2022.42204 kostenfrei https://doaj.org/article/99fa7186884646c586f40cbdc9e6de3b kostenfrei https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-42204 kostenfrei https://doaj.org/toc/2149-0287 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 4 248-252 |
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In Boğaziçi Tıp Dergisi 9(2022), 4, Seite 248-252 volume:9 year:2022 number:4 pages:248-252 |
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The Effect of Thyroid Disorders on Mortality and Clinical Outcomes in Geriatric Hip Fractures |
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INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. |
abstractGer |
INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. |
abstract_unstemmed |
INTRODUCTION: The aim of this study was to investigate the effect of thyroid dysfunctions on post-operative mortality and clinical outcomes in patients with geriatric hip fractures. METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. Therefore, it is recommended that geriatric hip fracture patients with hypothyroidism should be followed up closely in the perioperative period. |
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METHODS: In this retrospective study, 139 patients applied to the hospital with hip fractures between January 2019 and October 2020 were included in the study. The patients were divided according to thyroid function tests into three groups as euthyroid, hypothyroid, and hyperthyroid, respectively. Group 1 consisted of 97 patients within the euthyroid boundaries. Group 2 consisted of 18 patients with hypothyroidism and Group 3 consisted of 24 patients with hyperthyroidism. The effect of the thyroid disorders on 30-day and 1-year mortality was evaluated. Moreover, need for intensive care unit (ICU) and the length of stay (LOS) in ICU were examined between the groups. RESULTS: The 30-day mortality rate in the patients included in the study was 6.5% and the 1-year mortality rate was found to be 23.7%. Forty-four of 139 patients included in the study needed for the ICU. The 30-day and 1-year mortality rates in the hypothyroid patient group were found to be 16.6% and 22.2%, respectively. About 55.6% of the hypothyroid group, significantly higher than the other groups, were treated in the ICU (p=0.045). The mean LOS of the patients included in the study was 7.14+-4.61 days. The mean LOS in Group 2 was observed to be longer than in Groups 1 and 3; however, this difference was not statistically significant (p=0.330). DISCUSSION AND CONCLUSION: In geriatric hip fractures with hypothyroidism in the pre-operative period, the need for ICU and the LOS in ICU increased in the post-operative period. 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