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
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Jul 21, 1999·Transfusion·J L CarsonG Provenzano
Sep 28, 1999·Regional Anesthesia and Pain Medicine·R Kaplan
Apr 8, 2000·Anesthesiology·D A O'HaraJ L Carson
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
Nov 22, 2005·BMJ : British Medical Journal·J J W RocheC G Moran
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
Jun 17, 2008·Injury·Ami HommelKarl-Göran Thorngren
Aug 14, 2008·Anaesthesia·S J Mercer, L S Cheater
Dec 5, 2008·Journal of the American Geriatrics Society·Susanne J PedersenUNKNOWN Hip Fracture Group of Bispebjerg Hospital
Oct 2, 2009·Journal of the American Geriatrics Society·Mark D NeumanLee A Fleisher
Dec 31, 2009·Anaesthesia·S M WhiteA Shannon
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
Aug 20, 2011·Anaesthesia·R J Wood, S M White
Apr 2, 2016·Revista española de geriatría y gerontología·Teresa Pareja SierraMercedes Hornillos Calvo
Citations
Nov 6, 2014·BMC Anesthesiology·Rosa HerreraThorsten Steinfeldt
Jul 31, 2013·Revista española de anestesiología y reanimación·F ReguantJ Bosch
Jul 26, 2014·Revista española de anestesiología y reanimación·C L ErrandoJ L Soriano
Sep 9, 2017·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Carmen M Sarabia-CoboSonia Briz Casares
Aug 26, 2021·Clinical Interventions in Aging·Eliseo Ramírez-GarcíaSergio Sánchez-García