Predictive factors of hospital stay, mortality and functional recovery after surgery for hip fracture in elderly patients.

Autor: Pareja Sierra T; Sección de Geriatría, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España. Electronic address: tparejas2@hotmail.com., Bartolomé Martín I; Sección de Geriatría, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España., Rodríguez Solís J; Sección de Geriatría, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España., Bárcena Goitiandia L; Sección de Geriatría, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España., Torralba González de Suso M; Servicio de Medicina Interna, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España., Morales Sanz MD; Servicio de Hematología, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España., Hornillos Calvo M; Sección de Geriatría, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2017 Nov - Dec; Vol. 61 (6), pp. 427-435. Date of Electronic Publication: 2017 Sep 06.
DOI: 10.1016/j.recot.2017.06.002
Abstrakt: Objectives: Due to its high prevalence and serious consequences it is very important to be well aware of factors that might be related to medical complications, mortality, hospital stay and functional recovery in elderly patients with hip fracture.
Material and Methods: A prospective study of a group of 130 patients aged over 75 years admitted for osteoporotic hip fracture. Their medical records, physical and cognitive status prior to the fall, fracture type and surgical treatment, medical complications and functional and social evolution after hospitalization were evaluated.
Results: Patients with greater physical disability, more severe cognitive impairment and those who lived in a nursing home before the fracture had worse functional recovery after surgery. Treatment with intravenous iron to reduce transfusions reduced hospital stay and improved walking ability. Infections and heart failure were the most frequent medical complications and were related to a longer hospital stay. The prescription of nutritional supplements for the patients with real indication improved their physical recovery after the hip fracture CONCLUSIONS: Evaluation of physical, cognitive and social status prior to hip fracture should be the basis of an individual treatment plan because of its great prognostic value. Multidisciplinary teams with continuous monitoring of medical problems should prevent and treat complications as soon as possible. Intravenous iron and specific nutritional supplements can improve functional recovery six months after hip fracture.
(Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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