FACTORS ASSOCIATED WITH THE OUTCOMES OF OLDER PATIENTS OPERATED DUE TO HIP FRACTURES.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1413-785220233102e259371

Fernando Gonzalez Corrêa, Luan Toshio Serikawa, Roberto Bezerra Nicolau, Luis Felipe Brandt Ferres, João Carlos Pedro Filho, Fernando Baldy Dos Reis, Luiz Fernando Cocco

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Abstract

Objective: Evaluating clinical factors associated with mortality in older patients who underwent surgical correction of hip fractures.

Methods: This observational and retrospective study analyzed the medical records of 67 patients (aged older than 60 years), both men and women, who underwent surgical correction of hip fractures from 2019 to 2020 at Hospital São Paulo. The following variables were analyzed: age, sex, presence of comorbidities, affected hip region, and trauma mechanism. Statistical analyses were performed using the SPSS software.

Results: The mean age of patients was 78.12 ± 9.80 years and 80.6% of the sample were women. The prevalence of hip fractures on the right side (52.2%), in the transtrochanteric region (53.7%), and due to fall on the same level (88.1%) was higher. Systemic arterial hypertension (77.6%), diabetes mellitus (37.3%), and dementia (16.4%) were frequent comorbidities. The prevalence of death after fracture was 17.9% and it was associated with longer hospital stay after surgery (p = 0.028).

Conclusion: The prevalence of mortality of patients with hip fractures who underwent surgery was 17.9%. A longer hospital stay due to pre-existing comorbidities was the main factor related to this outcome. Level of Evidence III, Retrospective Study.

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与老年髋部骨折患者手术结果相关的因素。

目的:评价与老年髋部骨折手术矫正患者死亡率相关的临床因素。方法:本观察性和回顾性研究分析了2019年至2020年在圣保罗医院接受髋部骨折手术矫形的67例患者(年龄大于60岁)的医疗记录。分析了以下变量:年龄、性别、合并症的存在、受影响的髋关节区域和创伤机制。采用SPSS软件进行统计分析。结果:患者平均年龄78.12±9.80岁，女性占80.6%。髋部骨折发生在右侧(52.2%)、经粗隆区(53.7%)和同一水平跌落(88.1%)的发生率较高。全身性动脉高血压(77.6%)、糖尿病(37.3%)和痴呆(16.4%)是常见的合并症。骨折后死亡发生率为17.9%，且与术后住院时间延长相关(p = 0.028)。结论:髋部骨折手术患者死亡率为17.9%。由于先前存在的合并症而住院时间较长是与该结果相关的主要因素。证据水平III，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.

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