Jean Klay Santos Machado, Eduardo Cezar Silva Dos Santos, Deivid Ramos Dos Santos
{"title":"老年患者第三股骨近端骨折后死亡率预测因素：395例分析。","authors":"Jean Klay Santos Machado, Eduardo Cezar Silva Dos Santos, Deivid Ramos Dos Santos","doi":"10.1590/1413-785220253305e289995","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess the risk factors associated with mortality in elderly patients with proximal femoral fractures up to one year after the fracture.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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. <b><i>Level of Evidence II; Cohort Study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 5","pages":"e289995"},"PeriodicalIF":0.6000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456900/pdf/","citationCount":"0","resultStr":"{\"title\":\"MORTALITY PREDICTOR IN ELDERLY PATIENTS AFTER PROXIMAL THIRD FEMUR FRACTURE: ANALYSIS OF 395 CASES.\",\"authors\":\"Jean Klay Santos Machado, Eduardo Cezar Silva Dos Santos, Deivid Ramos Dos Santos\",\"doi\":\"10.1590/1413-785220253305e289995\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To assess the risk factors associated with mortality in elderly patients with proximal femoral fractures up to one year after the fracture.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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. <b><i>Level of Evidence II; Cohort Study.</i></b></p>\",\"PeriodicalId\":55563,\"journal\":{\"name\":\"Acta Ortopedica Brasileira\",\"volume\":\"33 5\",\"pages\":\"e289995\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456900/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Ortopedica Brasileira\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1413-785220253305e289995\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ortopedica Brasileira","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-785220253305e289995","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
MORTALITY PREDICTOR IN ELDERLY PATIENTS AFTER PROXIMAL THIRD FEMUR FRACTURE: ANALYSIS OF 395 CASES.
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.
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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