Predictive Factors of Death after Surgery for Treatment of Proximal Femoral Fracture

• Main Authors: Jurandir Antunes Filho, Armando D’Lucca de Castro e Silva, Adriano Fernando Mendes Junior, Felipe Jader Coelho Pereira, Igor Gerdi Oppe, Elmano de Araújo Loures
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Ortopedia e Traumatologia
• Series: Revista Brasileira de Ortopedia
• Subjects: hip fractures; mortality; elderly
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400402&lng=en&tlng=en

Abstract Objective To evaluate predictive factors of death in patients aged ≥ 70 years old with proximal femoral fracture (PFF) submitted to surgical treatment. Methods An analysis of medical records by creating a retrospective cohort with a 6- month follow-up. A total of 124 charts were analyzed after applying the inclusion and exclusion criteria. All of the patients were treated by a single orthopedic surgeon under uniform conditions. Results The mortality rate was of 34.7%, and the most common profile was female, 85 years old, and with at least 1 comorbidity. Patients > 85 years old, hospitalized for > 7 days, with at least 1 comorbidity, and staying at the intensive care unit (ICU) had a higher risk of death (2, 2.5, 4, and 4 times higher, respectively). Conclusion Regarding the death outcome, although we did not find a statistically significant difference in the topography of the lesion and in its behavior in its coexistence with ICU hospitalization, we believe that further investigations under this perspective are required in a population with the studied profile.