Risk factors for in-hospital mortality following hip fracture
| Autor: | Sanz-Reig J, Salvador Marín J, Pérez Alba JM, Ferrández Martínez J, Orozco D, Martínez López JF |
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| Rok vydání: | 2016 |
| Předmět: |
Fractura proximal fémur
Aged 80 and over Male Hip Fractures Factores pronósticos Mortalidad intrahospitalaria Prognostic factors Hip fracture Factores pronósticos Fractura proximal fémur Hip fracture In-hospital mortality Mortalidad intrahospitalaria Prognostic factors In-hospital mortality Risk Factors Humans Female Hospital Mortality Aged Retrospective Studies |
| Zdroj: | Revista Espanola de Cirugia Ortopedica y Traumatologia r-FISABIO. Repositorio Institucional de Producción Científica instname r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| ISSN: | 1988-8856 |
| Popis: | OBJECTIVE: To identify and quantify the risk factors for in-hospital mortality in patients older than 65 years with a hip fracture. MATERIALS AND METHODS: Retrospective review of prospectively collected data. We studied a cohort of 331 hip fracture patients older than 65 years of age admitted to our hospital from 2011 to 2014. Patients demographics, type of residence, physical function, mobility, prefracture comorbidities data, cognitive status, anti-aggregant and anticoagulant medication, preoperative haemoglobin value, type of fracture, type of treatment, surgical delay, and complications, were recorded. RESULTS: The average age was 83, 73% female, and 57% had sustained a subcapital fracture. In 62.8% pre-fracture baseline co-morbidities were equal or greater than 2. The in-hospital mortality rate was 11.4%. In univariate analysis, age over 90, male gender, haemoglobin = 10g/dl, no antiplatelet agents, orthopaedic treatment, number of co-morbidities=2, Charlson index=2, age-adjusted Charlson index=6, congestive heart failure, asthma, rheumatologic disease, were associated with in-hospital mortality. CONCLUSIONS: Preoperative patient-related factors have a strong relationship with in-hospital mortality in a hip fracture patients aged older than 65 years. These factors are non-modifiable; we recommend the development of protocols to reduce in-hospital mortality in this group of patients. |
| Databáze: | OpenAIRE |
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