Prognostic factors for mortality in elderly patients with hip fracture

Revista española de anestesiología y reanimación
F ReguantP Esquius

Abstract

The objective of the study was to describe the population of patients undergoing surgery for hip fracture, to assess the incidence of mortality and identify associated prognostic factors, and to evaluate functionality at one year after surgery. A retrospective cohort study, with follow-up during the first year after hospital discharge, of patients over 64 years old undergoing surgery for non-traumatic hip fracture during 2008. Variables studied were sociodemographic parameters, clinical complications, functionality and mortality. A total of 240 patients were included, with a mean age of 83.8 years (SD 7.3), of whom 75.8% were women, 51.7% were ASA III-IV and 28.3% had a Charlson index greater than 2. Surgical delay was greater than 48 h in 61.7% of patients, and the mean hospital stay was 19.6 days (SD 15.9). Over three-quarters (76.3%) of the patients had some postoperative complications, the most frequent being cardiovascular and the cognitive disorders. At one year from surgery, 38.4% were able to walk on their own. In hospital mortality was 7.9%, and was 16.7, 20.4 and 24.6% at 3, 6 and 12 months, respectively. Independent prognostic factors of mortality at one year after surgery were: age, ASA score, Charlson index and pos...Continue Reading

References

Apr 15, 2004·JAMA : the Journal of the American Medical Association·Gretchen M OroszAlbert L Siu
Nov 2, 2004·British Journal of Anaesthesia·N B Foss, H Kehlet
Mar 24, 2006·BMJ : British Medical Journal·Alex Bottle, Paul Aylin
Feb 21, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Victor NovackAvi Porath
Mar 4, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Toshiya ShigaYoko Ohe
Mar 20, 2008·Age and Ageing·Nicolai B FossHenrik Kehlet
Mar 28, 2008·JAMA : the Journal of the American Medical Association·Angela M Cheung, Allan S Detsky
Dec 5, 2008·Journal of the American Geriatrics Society·Susanne J PedersenUNKNOWN Hip Fracture Group of Bispebjerg Hospital
Sep 15, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Nicole SimunovicMohit Bhandari
Nov 26, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·T J LugerJ Kreutziger
May 24, 2011·BMC Musculoskeletal Disorders·Jorma PanulaSirkka-Liisa Kivelä
Aug 17, 2011·Annals of Internal Medicine·María T VidánJosé A Serra
Apr 2, 2016·Revista española de geriatría y gerontología·Teresa Pareja SierraMercedes Hornillos Calvo

❮ Previous
Next ❯

Citations

Jul 31, 2013·Revista española de anestesiología y reanimación·F ReguantJ Bosch
Sep 9, 2017·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Carmen M Sarabia-CoboSonia Briz Casares

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.