We retrospectively reviewed a population database and a case series to compare the mortality of operative and nonoperative treatment of @entity173 in @entity1 with severe comorbidity. Nonoperative treatment of @entity173 (bed rest or early weight bearing) was administered based on medical assessment of perioperative risk. Comparison of 30-day mortality was performed between the nonoperatively and operatively treated groups. We found that of 50,235 of @entity173 that occurred between 1992 and 1998, 89.4% were treated operatively. Thirty-day mortality rate in the nonoperatively treated @entity1 (18.8%) was higher than the rate in operatively treated @entity1 (11.0%) (odds ratio 1.7 times, 95% confidence interval (CI) 1.6, 1.8). In the case series, of 62 elderly @entity1 with severe comorbidity treated nonoperatively, 41 had bed rest/traction, while 21 were mobilized early. A group of operatively treated @entity1 (n=108) was compared to nonoperatively treated @entity1 . Mortality with nonoperative treatment was higher with bed rest (73%) compared to early mobilization (odds ratio 3.8, 95% CI 1.1-14.0). There was no significant difference in mortality between operatively treated @entity1 (29%) and @entity1 treated nonoperatively with immediate mobilization (19%). Bed rest was 2.5 times more likely to be associated with mortality compared to operative treatment (95% CI 1.1-5.5).

Nonoperative treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity173 :: ('MESH:D006620', 'Disease') :: ['hip fractures']
@entity173 :: (MESH:D006620,Disease) :: ['hip fractures']
