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vol.54 issue4Analysis of the Morbidimortality of Patients with Peritrochanteric Fractures Surgically Treated with Proximal Femoral Intramedullary RodFactors Influencing the Outcome of Osteosynthesis in the Fracture of the Femoral Neck in Young Adult Patients author indexsubject indexarticles search
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Revista Brasileira de Ortopedia

Print version ISSN 0102-3616On-line version ISSN 1982-4378

Abstract

ANTUNES FILHO, Jurandir et al. Predictive Factors of Death after Surgery for Treatment of Proximal Femoral Fracture. Rev. bras. ortop. [online]. 2019, vol.54, n.4, pp.402-407.  Epub Oct 07, 2019. ISSN 0102-3616.  http://dx.doi.org/10.1055/s-0039-1692179.

Objective

To evaluate predictive factors of death in patients aged ≥ 70 years old with proximal femoral fracture (PFF) submitted to surgical treatment.

Methods

An analysis of medical records by creating a retrospective cohort with a 6- month follow-up. A total of 124 charts were analyzed after applying the inclusion and exclusion criteria. All of the patients were treated by a single orthopedic surgeon under uniform conditions.

Results

The mortality rate was of 34.7%, and the most common profile was female, 85 years old, and with at least 1 comorbidity. Patients > 85 years old, hospitalized for > 7 days, with at least 1 comorbidity, and staying at the intensive care unit (ICU) had a higher risk of death (2, 2.5, 4, and 4 times higher, respectively).

Conclusion

Regarding the death outcome, although we did not find a statistically significant difference in the topography of the lesion and in its behavior in its coexistence with ICU hospitalization, we believe that further investigations under this perspective are required in a population with the studied profile.

Keywords : hip fractures; mortality; elderly.

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