THE PREVALENCE OF COGNITIVE IMPAIRMENT IN PATIENTS WITH PROXIMAL FEMORAL FRACTURES

Abstract

Introduction: Fractures of the proximal femur are becoming more common. Through the data, this medical problem became a humanitarian, economic and social has imposed the first evidence-based review in our clinic. It is necessary to find out if there is a causal relationship between postural instability, hip fractures and cognitiv impairment. Methods: Clinical data were recorded, removing any information about personal identity. Consecutive patients aged over 65 years were included in the study. They were admitted during the period 01.01.2021-31.12.2021 and had primary fractures of the proximal femur caused by low energy trauma produced by falling from the same level. Results: 360 cases with a mean age of 78.73 years and having a proximal femoral fracture were analyzed. The prevalence of cognitive impairment was 27.22%, significantly undifferentiated by the type of fracture or age group. The relatively small age of the batch of 72-100000 indicates the existance of a socio-economic problem besides the high medical problems raised by a major fracture occurring in the context of comorbidity of 86.36%. Conclusions: The existence of proximal femur fractures in elderly people with certain cognitive involution creates personal dramas and socio-medical problems that require complex studies.