MORTALITY PREDICTOR IN ELDERLY PATIENTS AFTER PROXIMAL THIRD FEMUR FRACTURE: ANALYSIS OF 395 CASES.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253305e289995

Jean Klay Santos Machado, Eduardo Cezar Silva Dos Santos, Deivid Ramos Dos Santos

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Abstract

Objective: To assess the risk factors associated with mortality in elderly patients with proximal femoral fractures up to one year after the fracture.

Method: This was a prospective cohort study of patients aged 60 or older diagnosed with a proximal femoral fracture at a referral hospital in Belém, PA.

Results: 395 patients were assessed. The risk factors age≥83 years (p<0.0010), fracture-surgery time ≥ 3 days (p=0.0034), hemoglobin < 9g/dL (p<0.027), leukocytosis (p<0.00001) and pulmonary infection (p<0.0001) were statistically significant in mortality up to 12 months after the fracture.

Conclusion: It was observed that in the first year after fracture, gender, type of fracture and comorbidities were not determining factors in mortality. In this series, the mortality rate was 20.75% one year after the fracture, with pulmonary sepsis being the most frequent cause of death. Level of Evidence II; Cohort Study.

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老年患者第三股骨近端骨折后死亡率预测因素：395例分析。

目的：探讨老年股骨近端骨折患者骨折后1年内死亡率的相关危险因素。方法：这是一项前瞻性队列研究，患者年龄在60岁或以上，在宾夕法尼亚州bel姆转诊医院诊断为股骨近端骨折。结果：共评估395例患者。结论：骨折后1年内，性别、骨折类型及合并症均不是死亡率的决定因素。在这一系列病例中，骨折后一年的死亡率为20.75%，肺脓毒症是最常见的死亡原因。证据水平II；队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.