The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures

• Autor(a) principal: Guerra,Marcelo Teodoro Ezequiel
• Data de Publicação: 2019
• Outros Autores: Giglio,Luiz, Morais,João Mauro Mendina, Labatut,Giovanna, Feijó,Monica Cavanus, Kayser,Carlos Eduardo Peixoto
• 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=S0102-36162019000400387
• topic: femoral fractures/ etiology; femoral fractures/ surgery; femoral fractures/ mortality; postoperative complications

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.