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Rev Esp Cir Ortop Traumatol. 2017 May - Jun;61(3):185-192. doi: 10.1016/j.recot.2017.02.004. Epub 2017 Mar 28.

Risk factors for mortality after surgery of osteoporotic hip fracture in patients over 65 years of age.

[Article in English, Spanish]

Author information

1
Servicio de Gestión de la Prestación Farmacéutica, Servicio Navarro de Salud, Pamplona, España. Electronic address: isaara30@hotmail.com.
2
Servicio de Medicina Interna, Complejo Hospitalario B de Navarra, Pamplona, España.
3
Servicio de Medicina Interna, Complejo Hospitalario A de Navarra, Pamplona, España.
4
Servicio de Medicina Interna, Hospital García Orcoyen, Estella, España.

Abstract

OBJECTIVE:

To evaluate, from a clinical perspective, and with easily identifiable variables, those factors that influence the survival of patients admitted to a care unit designed for the comprehensive treatment of patients with hip fracture after being surgically treated.

MATERIAL AND METHODS:

A prospective study was conducted on a cohort of patients (n=202) aged 65 years or older with a low impact hip fracture, who were surgically intervened in a tertiary hospital. An analysis was performed to determine mortality at 90 days, and at one and 2years after surgery using demographic, clinical, analytical, and functional variables.

RESULTS:

The independent risk factors of mortality in the 3periods analysed were age (P=.047, P=.016, and P=.000 at 90 days, 1, and 2 years, respectively) and a low Barthel index (P=.014, P=.005, and P=.004 to 90 days, 1, and 2 years, respectively). Male sex (P=.004) and a high risk for anaesthesia (P=.011) were only independent risk factors of mortality at 2years after surgery.

DISCUSSION AND CONCLUSION:

Age and dependency were the major determining factors of mortality at 30 days, 1, and 2 years after surgery for hip fracture. Both are easily measurable to identify patients susceptible to poor outcomes, and could benefit from a more thorough care plan.

KEYWORDS:

Anciano; Dependencia; Dependency; Elderly; Factor de riesgo; Fractura de cadera osteoporótica; Mortalidad; Mortality; Osteoporotic hip fracture; Risk factor

PMID:
28363666
DOI:
10.1016/j.recot.2017.02.004
[Indexed for MEDLINE]

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