Pronostic factors of good functionality at 12 months of a hip fracture. Maluc Anoia study.

Autor: Gamboa-Arango A; Unidad Geriátrica de Agudos, Servicio de Geriatría, Hospital de Igualada, Igualada, España. Electronic address: agamboa@csa.cat., Duaso E; Unidad Geriátrica de Agudos, Servicio de Geriatría, Hospital de Igualada, Igualada, España., Formiga F; Programa de Geriatría, Medicina Interna, Hospital Universitario de Bellvitge, IDIBELL, L'Hospitalet de Llobregat, España., Marimón P; Unidad Geriátrica de Agudos, Servicio de Traumatología y Cirugía Ortopédica, Hospital de Igualada, Igualada, España., Sandiumenge M; Unidad Geriátrica de Agudos, Servicio de Geriatría, Hospital de Igualada, Igualada, España., Salgado MT; Servicio de Fisioterapia, Fundación Sanitaria San José, Igualada, España., Escalante E; Unidad Geriátrica de Agudos, Servicio de Geriatría, Hospital de Igualada, Igualada, España., Lumbreras C; Unidad Geriátrica de Agudos, Servicio de Geriatría, Hospital de Igualada, Igualada, España., Tarrida A; Unidad Geriátrica de Agudos, Servicio de Geriatría, Hospital de Igualada, Igualada, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia (English ed.) [Rev Esp Cir Ortop Traumatol (Engl Ed)] 2020 Jan - Feb; Vol. 64 (1), pp. 57-63. Date of Electronic Publication: 2019 Jul 31.
DOI: 10.1016/j.recot.2019.06.007
Abstrakt: Background: Hip fracture usually occurs in frail elderly patients and is associated with an important morbi-mortality in the first year. The objective of the study is to describe the prognostic factors that would allow maintaining functionality at 12 months.
Method: From June 1, 2010 to May 31, 2013, all patients older than 69 years with hip fracture due to bone fragility admitted to the Geriatric Acute Unit of our hospital were included. We define as functional maintenance those patients who have lost between 0-15 points in the Barthel Index with respect to the previous to the fracture. Prospective study of bivariate data analysis for related and multivariate prognostic factors for predictive predictors.
Results: 271 patients were included, of them, 146 (54.8%), maintained functionality at 12 months and 122 (45.2%) no. Patients who maintain functional status are younger: average age 83.4 vs 85.80 years (P=.002); with better scores in the indexes of: Lawton prior to fracture 4.42 vs 2.40 (P<.001) and Barthel at discharge 34.2 vs. 27.1 (P=.002). There are also differences in the score of the "Geriatric Dementia Scale" 2.59 vs. 3.13 (P=.009), in the score of the "American Society Anesthesiologist"Conclusions: Prognostic factors of functional maintenance at 12 months are age and the ability to perform instrumental activities of daily life.
(Copyright © 2019 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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