EPIDEMIOLOGICAL PROFILE AND WAITING TIME FOR OSTEOSYNTHESIS OF TRANSTROCHANTERIC FRACTURES.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253305e290192

Felipe da Silva de Melo, Lara Letícia Brito de Andrade, Gabriel Vale do Monte Sobreira, William Roberto Paredes Argotte

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Abstract

Objective: To evaluate the epidemiological profile and waiting time for osteosynthesis in patients admitted due to intertrochanteric fracture in a public hospital in the Federal District of Brazil.

Methods: This observational, descriptive, and retrospective study involved patients over 18 years old with intertrochanteric fractures between June and December 2023. Demographic, clinical data, and information about waiting time for osteosynthesis were collected. Analyses were performed using descriptive statistics and logistic regression.

Results: The majority of patients (61.4%) were female, with a mean age of 74 years. The average time between fracture and care was 3.4 days, and from fracture to osteosynthesis was 22.7 days. The mortality rate was 6.8%, with higher prevalence in elderly women with comorbidities.

Conclusions: The study demonstrates that a prolonged time between fracture and osteosynthesis is associated with worse clinical outcomes, particularly in elderly patients with comorbidities. Optimizing the waiting time for surgery is essential to reduce morbidity and mortality and improve patient recovery. Level of Evidence IV; Observational, Descriptive, and Retrospective Study.

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经粗隆骨折的流行病学特征及骨融合术的等待时间。

目的：了解巴西联邦区某公立医院收治的股骨粗隆间骨折患者的流行病学特征和等待植骨时间。方法：这项观察性、描述性和回顾性研究纳入了2023年6月至12月期间18岁以上的股骨粗隆间骨折患者。收集了人口统计学、临床数据和等待植骨时间的信息。采用描述性统计和逻辑回归进行分析。结果：患者以女性为主（61.4%），平均年龄74岁。从骨折到护理的平均时间为3.4天，从骨折到植骨的平均时间为22.7天。死亡率为6.8%，在有合并症的老年妇女中发病率更高。结论：该研究表明，骨折和植骨之间的时间间隔较长与较差的临床结果相关，特别是在有合并症的老年患者中。优化手术等待时间对于降低发病率和死亡率以及改善患者康复至关重要。证据水平IV；观察性、描述性和回顾性研究。

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.