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    Factors affecting one-year mortality in patients over 65 years of age undergoing surgery for hip fracture
    (Turkish Assoc Trauma Emergency Surgery, 2025) Gunes, Zafer; Erdogan, Eralp; Ceritoglu, Kubilay Ugurcan; Aktekin, Cem Nuri
    BACKGROUND: The objective of this study was to investigate the factors influencing one-year mortality in patients over 65 years of age who were hospitalized due to hip fracture. METHODS: This retrospective cohort study was based on clinical data collected from our hospital archives between January 2013 and December 2021. All consecutive patients over the age of 65 who were admitted with a hip fracture were considered for inclusion. RESULTS: Between January 2013 and December 2021, a total of 834 patients met the inclusion criteria. The one-year mortality rate was 33.5% (279/834). The mean time to surgery was 5.64 days in patients who died within one year, compared to 4.50 days in those who survived beyond one year (p=0.001). The mean hemoglobin, creatinine, lymphocyte count, and albumin levels in the one-year mortality group were 11.47 g/dL, 1.33 mg/dL, 1.10x103/mu L, and 3.42 g/L, respectively. In patients who survived longer than one year, these values were 11.93 g/dL, 1.12 mg/dL, 1.35x103/mu L, and 3.68 g/L, respectively (p=0.006, p=0.002, p=0.001, and p=0.000, respectively). CONCLUSION: We found that advanced age, delayed surgery, low albumin level, low total lymphocyte count, and elevated creatinine levels at hospital admission were associated with increased mortality following hip fracture surgery. In contrast to some findings in the literature, comorbidities, the number of comorbidities, blood transfusions, and admission to the intensive care unit (ICU) were not associated with increased mortality.