Mortality and Institutionalization Following Hip Fracture

Abstract

Cognitive impairment, older age, and gender were associated with increased risk of poor outcome following hip fracture. The socioeconomic variables--social support and health perception--did not contribute significant additional information in explaining mortality or institutionalization risk. While demographic factors cannot be modified, physical function 3 months postfracture may be amenable to intervention and may reduce the risk of institutionalization. Intervening to increase postfracture physical function may be particularly beneficial to older patients, or to those who are cognitively impaired.

O perfil das internações do SUS para fratura osteoporótica de fêmur em idosos no Brasil: uma descrição do triênio 2006-2008

“…O estudo condiz com os dados da literatura, os quais evidenciam que pessoas mais idosas são mais vulneráveis à morte após sofrer fratura de fêmur 23,24,25 . O maior percentual de óbito e a maior taxa de mortalidade relacionada ao sexo feminino devem ser analisados com cautela, pois aparecem em discordância com outros estudos nacionais 9,26 , nos quais o sexo masculino foi mais susceptível à mortalidade.…”

Epidemiology of Femur Fractures in the Elderly and Cost to the State of Paraná, Brazil

“…Although the number of fractures was higher in females, mortality rates were greater in males (6.1%), blacks (6.6%), Asians (7.3%), and people 80 years of age or older(8.7%), consistent with national and international literature. [13][14][15][16][17] The literature also shows a high morbidity related to femoral fractures, with some degree of physical limitation around 4 months after a fracture. 18 In a prospective study of 68 patients, only 32.56% reacquired the walking capacity and 27.9% of the previously independent patients needed special care.…”

Resultados al año de la rehabilitación tras fractura de fémur proximal en mayores de 84 años

“…Con frecuencia la edad muy avanzada junto con el deterioro funcional previo y la presencia de deterioro cognitivo se han presentado como un factor de mal pronóstico de recuperación funcional, institucionalización y mortalidad (4,(11)(12)(13).…”