Factors associated with mortality among elderly people hospitalized due to femoral fractures

Abstract

ObjectiveTo analyze factors associated with mortality among elderly people hospitalized in a single-center regional hospital due to femoral fractures.MethodsThis was a retrospective cohort study. Patients aged 60 years or over who were hospitalized with a diagnosis of femoral fracture (ICD S72) between 2008 and 2013 were selected through the electronic medical records.ResultsThe study evaluated 195 individuals of mean age 78.5 ± 9.6 years; females predominated (68.2%). The main mechanism for falls was low-energy (87.2%). Surgery was performed on 93.3% of the patients; the mean length of hospital stay was 13.6 ± 7.5 days and the mean waiting time for the surgery was 7.7 ± 4.2 days. The prevalence of mortality was 14.4%, and this occurred mostly among older individuals (p = 0.029); patients with leukocytosis (p < 0.001); those who needed intensive care (p < 0.001); and those who did not undergo surgery (p < 0.001). The mean survival was significantly longer among patients who underwent surgery and shorter among those who needed intensive care.ConclusionWomen predominated among the hospitalizations, and the degree of leukocytosis associated with advanced age presented a relationship with mortality, independent of the type of lesion or surgical procedure. More studies still need to be conducted in order to assess other factors associated with mortality.

Blood Orders and Predictors for Hemotransfusion in Elective Femur Fracture Repair Surgery

“…12,[15][16][17][18][19][20] Osteoporosis, falls from standing height as a mechanism of injury, exposure to more house chores, greater prevalence of chronic disease, and more fragile physical structure make the female gender more susceptible to this type of fracture. [21][22][23][24] Regarding mean patient age, similar results have been found by studies that evaluated populations in the same age group as those in the present study. 17,25 However, studies that excluded patients under the age of 60 obtained higher means.…”

Fratura de fêmur nos idosos: tempo de espera cirúrgica e desfecho da hospitalização

“…Várias publicações relacionam comorbidades com ocorrência de óbito, dentre elas destaca-se um estudo brasileiro que avaliou 195 idosos com fratura de fêmur. No referido estudo, observouse que o óbito precoce esteve relacionado com o número maior de comorbidades existentes (14) .…”

Influence of physical exercise on the functional capacity in institutionalized elderly

“…It is important to emphasize that physical activity, especially the resistance training, is very important to increase muscle strength so the elderly can preserve their functional capacity. Besides, this kind of training can promote reductions in loss of bone mass, contributing to the preservation of functional capacity since both are related 25 .…”