Factores asociados a mortalidad en pacientes con fractura de cadera a 30 días y 1 año Thesis

short description

  • Postgraduate thesis

Thesis author

  • Cortés, Juan
  • Gaitan, Daniel

external tutor

  • Blanco Vargas, Edgar Alejandro

abstract

  • Introduction: Over the last decade, the increase in life expectancy has resulted in a greater number of cases of hip fractures in aged patients, with multiple comorbidities and with a high mortality risk. It is essential to recognize the associated factors in order to generate strategies that optimize their management and survival rate. Methodology: A retrospective cohort study was performed in Bogota, Colombia at the HUM, between February 2015 and 2016. 308 patients with hip fracture were included, mortality associated factors were recorded in the first 30 days and first year. Results: The mean age of the patients was 78.8 ± 12.9 years, 66% were male. The 30-day mortality was 11.9% (n=34) and after one year: 25.5% (n=73). The main factors associated with mortality in the first 30 days were postoperative admission to the ICU (OR=4,649, 95% CI: 1,798-12,022) and ASA classification of III/IV (OR=3,163, 95% CI: 1,057-9,468). Regarding mortality in the first year, in addition to those two variables already mentioned, ASA III / IV (OR=2,976, 95% CI: 1,491-5,939) and postoperative in ICU (OR=2,845, 95% CI: 1,353-5,980), association with scores greater than 4 on the Nottingham scale, were identified (OR=1.426, 95% CI: 1.026 -1.981).Discussion: It was identified that the results obtained in this study were similar to those reported in the literature. We recognized that the association between the admission to ICU in the postoperative period and ASA classification of III/IV are associated factors to mortality in patients with hip fracture.

publication date

  • February 6, 2018 8:29 PM

keywords

  • Elderly
  • Hip fracture
  • ICU
  • Mortality

Document Id

  • e4c7cba0-90d8-4234-be5a-f54485bd6794