Predictive Factors of Death after Surgery for Treatment of Proximal Femoral Fracture.

Autor: Antunes Filho J; Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil., Silva ADCE; Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil., Mendes Junior AF; Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil., Pereira FJC; Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil., Oppe IG; Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil., Loures EA; Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.
Jazyk: angličtina
Zdroj: Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2019 Jul; Vol. 54 (4), pp. 402-407. Date of Electronic Publication: 2019 Aug 20.
DOI: 10.1055/s-0039-1692179
Abstrakt: Objective  To evaluate predictive factors of death in patients aged ≥ 70 years old with proximal femoral fracture (PFF) submitted to surgical treatment. Methods  An analysis of medical records by creating a retrospective cohort with a 6-month follow-up. A total of 124 charts were analyzed after applying the inclusion and exclusion criteria. All of the patients were treated by a single orthopedic surgeon under uniform conditions. Results  The mortality rate was of 34.7%, and the most common profile was female, 85 years old, and with at least 1 comorbidity. Patients > 85 years old, hospitalized for > 7 days, with at least 1 comorbidity, and staying at the intensive care unit (ICU) had a higher risk of death (2, 2.5, 4, and 4 times higher, respectively). Conclusion  Regarding the death outcome, although we did not find a statistically significant difference in the topography of the lesion and in its behavior in its coexistence with ICU hospitalization, we believe that further investigations under this perspective are required in a population with the studied profile.
Databáze: MEDLINE