A relação do escore de Lee com a mortalidade pós-operatória em pacientes com fraturas de fêmur proximal

Guerra, Marcelo Teodoro Ezequiel; Giglio, Luiz; Morais, João Mauro Mendina; G, Labatut; Feijó, Monica Cavanus; Kayser, Carlos Eduardo Peixoto

doi:10.1055/s-0039-1694020

Cited by 5 publications

(5 citation statements)

References 19 publications

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“…There is only one previous study composed of 422 patients, conducted by Guerra et al [23] investigating the association between RCRI and mortality in hip fracture patients. Their study could not demonstrate a predictive relationship between the RCRI and 1-year mortality.…”

Section: Discussionmentioning

confidence: 99%

“…The difference between their results and the results of the current study may be attributed to the limited size of their sample population and their use of 1-year rather than short-term mortality. Additionally, the current study divides patients into two cohorts based on RCRI scores as well as adjusts for relevant comorbidities and other clinically important factors that could affect the risk of mortality; this was not carried out by Guerra et al [23].…”

Section: Discussionmentioning

confidence: 99%

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The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery

Forssten

Ismail

Sjölin

et al. 2020

Eur J Trauma Emerg Surg

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Purpose The post-operative mortality after hip fracture surgery is high and has remained largely unchanged during the last decades. The Revised Cardiac Risk Index (RCRI) is a tool used to evaluate the 30-day risk of, among other outcomes, post-operative mortality. The aim of this study is to determine the association between the RCRI score and post-operative mortality in patients undergoing hip fracture surgery. Methods Data was obtained from the national hip fracture register which was cross-referenced with patients’ electronic hospital records. All adults who underwent primary emergency hip fracture surgery in Orebro County, Sweden, between January 1, 2013 and December 31, 2017, were included. Patients were divided into two cohorts: low RCRI (score = 0–1) and high RCRI (score ≥ 2). A Poisson regression model was employed to investigate the association between a high RCRI score and 30- and 90-day post-operative mortality. Results A total of 2443 patients, of whom 446 (18%) had a high RCRI score, were included in the current study. When adjusting for age, sex, comorbidities and type of surgery, the incidence of 30-day mortality increased by 46% in the high RCRI cohort (adj. IRR 1.46, 95% CI, 1.10–1.94, p = 0.010). Similar results were observed for 90-day mortality (adj. IRR 1.50, 95% CI, 1.21–1.84, p < 0.001). Conclusion The RCRI is applicable to patients that undergo surgery for traumatic hip fractures. A high RCRI score is associated with an increased incidence of both 30- and 90-day post-operative mortality. Future studies to evaluate these findings are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery

Forssten

Ismail

Sjölin

et al. 2020

Eur J Trauma Emerg Surg

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“…(22) O mecanismo de trauma mais comum foi a queda da própria altura, reforçando o fato de que fraturas de quadril estão associadas a trauma de baixa energia e idade avançada. (2) A incidência geral de fraturas extracapsulares foi maior que as intracapsulares, assim como em pesquisas internacionais, (3,16) apesar de que, isoladamente no grupo do comanejo, fraturas intracapsulares foram mais frequentes. A osteossíntese foi a cirurgia mais realizada, seguida de artroplastia, conforme a literatura.…”

Section: Discussionunclassified

“…A incidência da fratura de quadril (FQ) vem aumentando em todo o mundo juntamente com o envelhecimento populacional. ( ¹ ) Estudo realizado no sul do Brasil demonstrou que quase 90% dos casos de FQ ocorrem em idosos acima de 70 anos, (2) sendo que as comorbidades e fragilidades desta faixa etária estão comumente presentes, (3) elevando o risco de complicações pós-operatórias.…”

Section: Introductionunclassified

Impacto do comanejo multidisciplinar em desfechos de pacientes com fratura de quadril

Ferreira¹,

Guzinski²,

Boufleuer³

et al. 2022

Acta Paulista De Enfermagem

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“…Many studies have investigated factors that affect postoperative mortality and complication rates 9–13. However, postoperative functional decline in elderly patients has not received much attention yet 14,15.…”

mentioning

confidence: 99%

A formula for predicting postoperative functional decline using routine medical data in elderly patients after hip fracture surgery

Fukuda

Imai

Maruo

et al. 2023

Current Orthopaedic Practice

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Background: If functional decline after hip surgery can be predicted without special assessment, the effects of new treatments and rehabilitation practices can be easily compared with previous cases or those in other countries. The purpose of this study was to develop and examine a formula for such prediction. Methods: Data of 3,120 patients older than 65 yr with hip fracture were analyzed. The Barthel Index was used for evaluating activities of daily living (ADL). Low ADL was defined as patients with a lower score at discharge than the score at admission and patients with complete dependence at admission that did not change until discharge. Three models were developed in a training sample: Basic, Comorbidity, and Laboratory & Vital Signs models were created by inputting basic patient data, the basic data plus comorbidities, the basic data and comorbidities plus 8 laboratory test results and 5 vital signs, respectively. All potential variables with statistical significance < 0.2 on univariate analyses and some variables that may be clinically meaningful were included in multivariable models. The final model was developed by stepwise logistic regression. Results: The c-statistic of the Laboratory & Vital Signs formula was 0.701 and the predictive value was 76.9%. The c-statistics of the Basic and Comorbidity formulas were 0.643 and 0.664, respectively. Applying the Laboratory & Vital Signs formula to the validation sample, the c-statistic was 0.663. Conclusions: The formula developed from the medical data collected routinely before surgery could predict low ADL following hip fracture surgery in elderly patients. Level of Evidence: IVb

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A relação do escore de Lee com a mortalidade pós-operatória em pacientes com fraturas de fêmur proximal

Cited by 5 publications

References 19 publications

The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery

The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery

Impacto do comanejo multidisciplinar em desfechos de pacientes com fratura de quadril

A formula for predicting postoperative functional decline using routine medical data in elderly patients after hip fracture surgery

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