Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture

Detalhes bibliográficos
Autor(a) principal: Edelmuth,Stephanie Victoria Camargo Leão
Data de Publicação: 2018
Outros Autores: Sorio,Gabriella Nisimoto, Sprovieri,Fabio Antonio Anversa, Gali,Julio Cesar, Peron,Sonia Ferrari
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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spelling 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
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500543
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.rboe.2018.07.014
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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)
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reponame_str Revista Brasileira de Ortopedia (Online)
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repository.name.fl_str_mv Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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