Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500543 |
Resumo: | ABSTRACT Objective: To analyze comorbidities and clinical complications, and to determine the factors associated with mortality rates of elderly patients admitted with a hip fracture in a tertiary public hospital. Methods: Sixty-seven medical records were reviewed in a retrospective cohort study, including patients equal to or older than 65 years admitted to this institution for hip fracture between January 2014 and December 2014. The evaluated items constituted were the following: interval of time between fracture and hospital admission, time between admission and surgical procedure, comorbidities, clinical complications, type of orthopedic procedure, surgical risk, cardiac risk, and patient outcome. Results: The average patients' age in the sample was 77.6 years, with a predominance of the female gender. Most patients (50.7%) had two or more comorbidities. The main clinical complications during hospitalization included cognitive behavioral disorders, respiratory infection and of the urinary tract. The times between fracture and admission and between admission and surgery were more than seven days in most of cases. The mortality rate during hospitalization was 11.9%, and was directly connected to the presence of infections during hospital stay (p = 0.006), to time between admission and surgery longer than seven days (p = 0.005), to the Goldman Cardiac Risk Index class III (p = 0.008), and to age equal to or greater than 85 years (p = 0.031). Conclusion: Patients with hip fractures generally present comorbidities, are susceptible to clinical complications, and have an 11.9% mortality rate. |
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Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fractureElderlyHip fracturesOrthopedic surgeryABSTRACT Objective: To analyze comorbidities and clinical complications, and to determine the factors associated with mortality rates of elderly patients admitted with a hip fracture in a tertiary public hospital. Methods: Sixty-seven medical records were reviewed in a retrospective cohort study, including patients equal to or older than 65 years admitted to this institution for hip fracture between January 2014 and December 2014. The evaluated items constituted were the following: interval of time between fracture and hospital admission, time between admission and surgical procedure, comorbidities, clinical complications, type of orthopedic procedure, surgical risk, cardiac risk, and patient outcome. Results: The average patients' age in the sample was 77.6 years, with a predominance of the female gender. Most patients (50.7%) had two or more comorbidities. The main clinical complications during hospitalization included cognitive behavioral disorders, respiratory infection and of the urinary tract. The times between fracture and admission and between admission and surgery were more than seven days in most of cases. The mortality rate during hospitalization was 11.9%, and was directly connected to the presence of infections during hospital stay (p = 0.006), to time between admission and surgery longer than seven days (p = 0.005), to the Goldman Cardiac Risk Index class III (p = 0.008), and to age equal to or greater than 85 years (p = 0.031). Conclusion: Patients with hip fractures generally present comorbidities, are susceptible to clinical complications, and have an 11.9% mortality rate.Sociedade Brasileira de Ortopedia e Traumatologia2018-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500543Revista Brasileira de Ortopedia v.53 n.5 2018reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2018.07.014info:eu-repo/semantics/openAccessEdelmuth,Stephanie Victoria Camargo LeãoSorio,Gabriella NisimotoSprovieri,Fabio Antonio AnversaGali,Julio CesarPeron,Sonia Ferrarieng2018-10-16T00:00:00Zoai:scielo:S0102-36162018000500543Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2018-10-16T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture |
title |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture |
spellingShingle |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture Edelmuth,Stephanie Victoria Camargo Leão Elderly Hip fractures Orthopedic surgery |
title_short |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture |
title_full |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture |
title_fullStr |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture |
title_full_unstemmed |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture |
title_sort |
Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture |
author |
Edelmuth,Stephanie Victoria Camargo Leão |
author_facet |
Edelmuth,Stephanie Victoria Camargo Leão Sorio,Gabriella Nisimoto Sprovieri,Fabio Antonio Anversa Gali,Julio Cesar Peron,Sonia Ferrari |
author_role |
author |
author2 |
Sorio,Gabriella Nisimoto Sprovieri,Fabio Antonio Anversa Gali,Julio Cesar Peron,Sonia Ferrari |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Edelmuth,Stephanie Victoria Camargo Leão Sorio,Gabriella Nisimoto Sprovieri,Fabio Antonio Anversa Gali,Julio Cesar Peron,Sonia Ferrari |
dc.subject.por.fl_str_mv |
Elderly Hip fractures Orthopedic surgery |
topic |
Elderly Hip fractures Orthopedic surgery |
description |
ABSTRACT Objective: To analyze comorbidities and clinical complications, and to determine the factors associated with mortality rates of elderly patients admitted with a hip fracture in a tertiary public hospital. Methods: Sixty-seven medical records were reviewed in a retrospective cohort study, including patients equal to or older than 65 years admitted to this institution for hip fracture between January 2014 and December 2014. The evaluated items constituted were the following: interval of time between fracture and hospital admission, time between admission and surgical procedure, comorbidities, clinical complications, type of orthopedic procedure, surgical risk, cardiac risk, and patient outcome. Results: The average patients' age in the sample was 77.6 years, with a predominance of the female gender. Most patients (50.7%) had two or more comorbidities. The main clinical complications during hospitalization included cognitive behavioral disorders, respiratory infection and of the urinary tract. The times between fracture and admission and between admission and surgery were more than seven days in most of cases. The mortality rate during hospitalization was 11.9%, and was directly connected to the presence of infections during hospital stay (p = 0.006), to time between admission and surgery longer than seven days (p = 0.005), to the Goldman Cardiac Risk Index class III (p = 0.008), and to age equal to or greater than 85 years (p = 0.031). Conclusion: Patients with hip fractures generally present comorbidities, are susceptible to clinical complications, and have an 11.9% mortality rate. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500543 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500543 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2018.07.014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.53 n.5 2018 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122361518227456 |