Evaluation of the Mortality Rate One Year After Hip Fracture and Factors Relating to Diminished Survival Among Elderly People

Ricci, Guilherme; Longaray, Maurício Portal; Gonçalves, Ramiro Zilles; Neto, Ary da Silva Ungaretti; Manente, Marislei; Barbosa, Luíza Barbosa Horta

doi:10.1016/s2255-4971(15)30103-8

Cited by 14 publications

(17 citation statements)

References 37 publications

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“…In turn, in some studies the most operated side was the right, 69.2% and 55.6% respectively 24, 25. Another survey found a slight predominance of the left side, with 53.5% 26 . Bone cement was used in 37.35% of the sample.…”

Section: Discussionmentioning

confidence: 95%

Total hip arthroplasty complications in patients with or without controlled diabetes mellitus during hospitalization

Falcão

Dias

Wolfovitch

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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IntroductionTotal hip arthroplasty (THA) is a procedure that aims to restore the function of the hip joint. Diabetes mellitus (DM) is one of the most prevalent comorbidities among patients undergoing THA. DM involves various immunological and metabolic aspects, which lead to limitations and surgical complications.ObjectiveTo evaluate the association between THA complications and controlled DM during hospitalization period.MethodsCross-sectional research through the analysis of retrospective records of a private hospital in Salvador, Bahia. The chi-squared and Fisher's exact tests were used in SAS statistical program.ResultsMost patients were elderly females. The most prevalent comorbidities in the sample were hypertension and diabetes. The most frequent underlying pathology in the sample was coxarthrosis; among patients with DM, it was femoral neck fracture. The most common complications were changes in the hemolymphopoietic system, among which anemia was the most frequent complication. Cardiovascular, nervous, and blood glucose complications were positively associated with controlled DM. In turn, hemolymphopoietic, genitourinary, digestive, electrolyte, and infectious complications were not associated with DM. Having DM was a protective factor for thermal complications. There was no statistically significant difference between patients that had or did not have DM in each complication group studied.ConclusionPatients with controlled DM did not present more complications than those without DM during hospitalization in the post THA.

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Section: Discussionmentioning

confidence: 95%

Total hip arthroplasty complications in patients with or without controlled diabetes mellitus during hospitalization

Falcão

Dias

Wolfovitch

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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“…Therefore, the prophylactic use of this vitamin is recognized by many authors as an important factor in preventing fractures, especially PFF 1, 2, 3, 4…”

Section: Discussionmentioning

confidence: 99%

“…Despite the resources of modern medicine, there is a high mortality rate, around 25–30% yearly 1, 2, 3. Mortality is mainly due to factors such as advanced age, comorbidities, previous cognitive impairment, and delay in the procedure 1, 2. PFF also represents a major cost to public health, mainly due to prolonged hospitalization and related surgical procedures 3, 4…”

Section: Introductionmentioning

confidence: 99%

Elderly with proximal hip fracture present significantly lower levels of 25-hydroxyvitamin D

Guerra

Feron

Viana

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo compare serum 25-hydroxyvitamin D (25[OH]D) levels, a serum marker of vitamin D3, between patients with and without proximal hip fracture.MethodsThis was a case–control study in which serum samples of 25(OH)D were obtained from 110 proximal hip fracture inpatients and 231 control patients without fractures, all over 60 years of age. Levels of 25(OH)D lower than or equal to 20 ng/mL were considered deficient; from 21 ng/mL to 29 ng/mL, insufficient; and above 30 ng/mL, sufficient. Sex, age, and ethnicity were considered for association with the study groups and 25(OH)D levels.ResultsPatients with proximal hip fracture had significantly lower serum 25(OH)D levels (21.07 ng/mL) than controls (28.59 ng/mL; p = 0.000). Among patients with proximal hip fracture, 54.5% had deficient 25(OH)D levels, 27.2% had insufficient levels, and only 18.2% had sufficient levels. In the control group, 30.3% of patients had deficient 25(OH)D levels, 30.7% had insufficient levels, and 38.9% had sufficient levels. Female patients had decreased serum 25(OH)D levels both in the fracture group and in the control group (19.50 ng/mL vs. 26.94 ng/mL; p = 0.000) when compared with male patients with and without fracture (25.67 ng/mL vs. 33.74 ng/mL; p = 0.017). Regarding age, there was a significant association between 25(OH)D levels and risk of fracture only for the age groups 71–75 years and above 80 years.ConclusionPatients with proximal hip fracture had significantly decreased serum 25(OH)D levels when compared with the control group. Female patients had significantly lower serum 25(OH)D levels in both groups.

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“… 1 , 2 , 3 A large number of these patients die within two years and many never recover their quality of life or functional independence. 4 , 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

“…These fractures can be divided into femoral neck, transtrochanteric and subtrochanteric fractures. 5 , 6 All of them should be treated surgically, 1 , 5 but there is no consensus regarding the best surgical technique for each of them. Nonetheless, there are factors relating to the treatment that may modify the mortality rate among these patients.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of fractures of the proximal third of the femur in elderly patients

Daniachi

Netto

Ono

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveThis was an epidemiological study on fractures of the proximal third of the femur in elderly patients who were treated at a teaching hospital in the central region of São Paulo.MethodsThe subjects were patients over the age of 60 years who were attended over a 1-year period. A questionnaire seeking basic sociodemographic data and information on comorbidities presented and medications used was drawn up. The circumstances of the fractures and their characteristics, the treatment instituted and the intra-hospital mortality rate were evaluated.ResultsThe 113 patients included in the study presented a mean age of 79 years. The ratio between the sexes was three women to each man. Only 30.4% of the patients reported having osteoporosis and only 0.9% had had treatment for the disease. Low-energy trauma was the cause of 92.9% of the fractures. Femoral neck fractures accounted for 42.5% of the fractures and trochanteric fractures, 57.5%. Five patients did not undergo operations; 39 underwent joint replacement; and 69 underwent osteosynthesis. The mean length of hospital stay was 13.5 days and the mean length of waiting time until surgery was 7 days. The intra-hospital mortality rate was 7.1%.ConclusionThe patients attended at this institution presented an epidemiological profile similar to what is found in the Brazilian literature. Chronic kidney failure is a significant factor with regard to intra-hospital mortality. Preventive measures such as early diagnosis and treatment of osteoporosis and regular physical activity practices were not implemented.

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Evaluation of the Mortality Rate One Year After Hip Fracture and Factors Relating to Diminished Survival Among Elderly People

Cited by 14 publications

References 37 publications

Total hip arthroplasty complications in patients with or without controlled diabetes mellitus during hospitalization

Total hip arthroplasty complications in patients with or without controlled diabetes mellitus during hospitalization

Elderly with proximal hip fracture present significantly lower levels of 25-hydroxyvitamin D

Epidemiology of fractures of the proximal third of the femur in elderly patients

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