Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
Prognostic significance of radiographically detected arterial calcification in geriatric hip fracture patients: Abdominal aortic calcification as an independent predictor of mortality.
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Arzu Ufuk, Özmusul Veysel Burak, Gündoğdu Mert, Koncalıoğlu Berk, Gencer Batuhan, Gülabi Deniz
Аннотация
BACKGROUND: To investigate the prevalence and anatomical distribution of radiologically detected arterial calcification in the abdominal, iliac, and femoral arteries among patients aged ≥65 years undergoing surgical treatment for hip fracture, and to assess the impact of both the presence and localization of arterial calcification on patient survival.
METHODS: A retrospective analysis was performed on 270 patients who underwent surgical treatment for hip fractures between 2015 and 2024. The presence of arterial calcifications in the abdominal aorta, iliac arteries, and femoral arteries was assessed on plain radiographs, and their association with patient survival outcomes was investigated. In addition, demographic characteristics, fracture type, treatment modality, and intensive care unit admissions were systematically evaluated.
RESULTS: Arterial calcification was identified in 211 patients (78.1%). The mean survival time was significantly shorter in patients with arterial calcification (47.3 months, 95% CI: 40.7-53.8) compared with those without (76.9 months, 95% CI: 67.1-86.7) (Log-rank χ²=17.23, p<0.001). Log-rank analysis further demonstrated statistically significant differences in survival between patients with and without calcification of the abdominal aorta (χ²=21.39, p<0.001), iliac arteries (χ²=18.21, p<0.001), and femoral arteries (χ²=10.91, p=0.001). Cox regression analysis identified abdominal aortic calcification as an independent predictor of mortality in geriatric hip fracture patients (HR=3.43, 95% CI: 1.31-8.96, p=0.013), whereas iliac artery calcification (HR=1.53, p=0.284) and femoral artery calcification (HR=1.05, p=0.859) were not independently associated with survival after adjustment.
CONCLUSION: Iliac and femoral artery calcifications should not be regarded as independent predictors of mortality in geriatric patients with hip fractures. In contrast, abdominal aortic calcification has been identified as an independent prognostic determinant of mortality within this patient population.
METHODS: A retrospective analysis was performed on 270 patients who underwent surgical treatment for hip fractures between 2015 and 2024. The presence of arterial calcifications in the abdominal aorta, iliac arteries, and femoral arteries was assessed on plain radiographs, and their association with patient survival outcomes was investigated. In addition, demographic characteristics, fracture type, treatment modality, and intensive care unit admissions were systematically evaluated.
RESULTS: Arterial calcification was identified in 211 patients (78.1%). The mean survival time was significantly shorter in patients with arterial calcification (47.3 months, 95% CI: 40.7-53.8) compared with those without (76.9 months, 95% CI: 67.1-86.7) (Log-rank χ²=17.23, p<0.001). Log-rank analysis further demonstrated statistically significant differences in survival between patients with and without calcification of the abdominal aorta (χ²=21.39, p<0.001), iliac arteries (χ²=18.21, p<0.001), and femoral arteries (χ²=10.91, p=0.001). Cox regression analysis identified abdominal aortic calcification as an independent predictor of mortality in geriatric hip fracture patients (HR=3.43, 95% CI: 1.31-8.96, p=0.013), whereas iliac artery calcification (HR=1.53, p=0.284) and femoral artery calcification (HR=1.05, p=0.859) were not independently associated with survival after adjustment.
CONCLUSION: Iliac and femoral artery calcifications should not be regarded as independent predictors of mortality in geriatric patients with hip fractures. In contrast, abdominal aortic calcification has been identified as an independent prognostic determinant of mortality within this patient population.