Evaluación de la calidad de vida en pacientes intervenidos de artroplastia total de cadera

Tabernero, Marina Angulo; Letamendi, Maria Teresa Fernandez; Ezquerra, Andrés Aguilar; Murillo, Julia Ungría; Sebastiá, Juan José Panisello; Agudo, J. Mateo

doi:10.21840/siic/145152

Cited by 1 publication

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“…Clinical treatment of these fractures is difficult to some extent. With the aging of the population, the incidence of intertrochanteric fractures has been increasing annually [1][2][3]. At present, early fixation surgery is the mainstream treatment, allowing patients to engage in early functional exercise and outdoor activities, thus reducing the risk of complications and improving quality of life; commonly used implants are mainly intramedullary and extramedullary fixation [4].…”

Section: Introductionmentioning

confidence: 99%

The postoperative prognosis of older intertrochanteric fracture patients as evaluated by the Chang reduction quality criteria

Liu

Deng

et al. 2022

BMC Geriatr

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Objective The aim of this study was to investigate the relationship between the Chang reduction quality criteria (CRQC) and the outcome of intertrochanteric fractures in older adults according to follow-up time. Methods This was a retrospective analysis of 389 older adult patients with intertrochanteric fractures treated surgically from January 2019 to June 2021, including 130 males and 259 females aged 84.6 (77.5–89.7) years. Patient survival was determined by telephone as the time between admission to hospital for fracture and death or until the study deadline (June 1, 2022). According to the CRQC, the patients were divided into the Poor, Acceptable, and Excellent groups. Univariate and multivariate Cox proportional hazard models were used to assess the association between CRQC and all-cause mortality in older adult intertrochanteric fractures at 1 year and the total follow-up time. Further subgroup analysis was performed according to different clinical and biological characteristics to improve the accuracy of the results. Results The mortality rates were 24.7% and 15.4% at 1 year and the total follow-up time, respectively. Both at one year and the total follow-up time, the mortality of the CRQC-Excellent group was significantly lower than that of the CRQC-Acceptable group (p.adj < 0.05) and the CRQC-Poor group (p.adj < 0.05). After multifactor adjustment, CRQC grades of Acceptable and Poor were independent risk factors affecting the overall and 1-year mortality. In addition, advanced age, ≥ 1 comorbidities, ASA 3 + 4, and prolonged preoperative waiting time were independent risk factors for survival at the total follow-up time. At 1 year, only ASA 3 + 4 and prolonged preoperative waiting time were independent risk factors for survival. Subgroup analysis according to different characteristics at the total follow-up time and at one year showed that in most subgroups, a decrease in the CRQC grade was significantly associated with an increase in all-cause mortality (p for trend < 0.05). Conclusions This study highlights that CRQC grades of Acceptable and Poor are associated with increased all-cause mortality in older adult intertrochanteric fractures. We should attempt to achieve good reduction of these fractures.

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