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The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures* * Work developed at the Orthopedics and Traumatology Service, Hospital Universitário de Canoas, Canoas, RS, Brazil.

Abstract

Objective

To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables.

Methods

A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone.

Results

The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. Themortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality (p = 0.515). High levels of serum creatinine (p = 0.001) and age (p = 0.000) were directly associated with death.

Conclusion

The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.

Keywords:
femoral fractures/ etiology; femoral fractures/ surgery; femoral fractures/ mortality; postoperative complications

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