Morbimortalidade em idosos por fratura proximal do fêmur

Mesquita, Gerardo Vasconcelos; Lima, Myrna Amélia Lobão Teixeira de Abreu; Santos, Ana Maria Ribeiro dos; Alves, Eucário Leite Monteiro; Brito, José Nazareno Pearce de Oliveira; Martins, Maria do Carmo de Carvalho e

doi:10.1590/s0104-07072009000100008

Cited by 53 publications

(82 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Functional status before fracture, older age, male gender, and higher surgical risk increased the risk of mortality, whereas the use of antibiotics and physical therapy after surgery decreased the risk. Previous studies showed functional status before fracture [14,42,45,52], male gender [12,15,28,33,36,42,47], older age [10,15,28,36,43,47,50,52,55], and higher ASA scores predicted mortality in older patients [24,26,33,44,49] (Table 3), which is in agreement with our findings. In our study, we did not see a difference in mortality between patients undergoing arthroplasty versus patients undergoing osteosynthesis, which is in agreement with mortality reported by Garcia et al [15] and others [18,33,37].…”

Section: Discussionsupporting

confidence: 93%

“…It has been suggested the reason for this increased mortality after arthroplasty could be higher use of arthroplasty with older age, but so far the evidence is inconclusive [18,54]. Finally, many authors have reported the impact of comorbid conditions on mortality [10,12,14,28,36,37,42,46,47,[50][51][52], whereas we did not observe this. This might be attributable to our measurement of comorbid conditions.…”

Section: Discussioncontrasting

confidence: 75%

See 1 more Smart Citation

The Impact of Prefracture and Hip Fracture Characteristics on Mortality in Older Persons in Brazil

Pereira

Puts

Portela

et al. 2010

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Hip fractures in the elderly are common and associated with considerable mortality and disability. Although well known in industrialized countries, the factors associated with mortality after hip fractures are not reported frequently in developing countries and little is known regarding risk factors in Latin America. Questions/PurposeWe investigated the rate of 1-year mortality and prefracture and fracture characteristics associated with mortality after a hip fracture in elderly Brazilian patients in a large metropolitan area. Methods Two hundred forty-six persons 60 years and older admitted to four hospitals in Rio de Janeiro were included after experiencing fractures and were followed for 1 year. Data were collected on sociodemographic, health, and functional status; type of surgery; length of stay; and complications after surgery. Cox regression analyses were conducted to investigate factors associated with 1-year mortality after hip fracture. Results Of the 246 patients, 86 died (35%). Of those 86, 22 died in the hospital (25.6%) and 64 (74.4%) died after discharge. Functional status before fracture, older age, male gender, and higher surgical risk increased the risk of mortality, whereas the use of antibiotics and the use of physical therapy after surgery decreased the risk. Conclusions Our mortality rate was higher than those reported from industrialized countries. The use of antibiotics and physical therapy are potentially modifiable factors to improve patients' survival after fracture in Brazil. Level of Evidence Level II, prognostic study. See the Guidelines for Authors for a complete description of the levels of evidence.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 75%

The Impact of Prefracture and Hip Fracture Characteristics on Mortality in Older Persons in Brazil

Pereira

Puts

Portela

et al. 2010

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…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.…”

Section: Resultsmentioning

confidence: 99%

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

Oliveira

Borba

2017

Acta ortop. bras.

View full text Add to dashboard Cite

Objectives: To evaluate the incidence and economic impact of femur fractures in the state of Paraná, Brazil. Methods: This descriptive study included men and women ≥ 60 years of age with hip fractures which were treated by the Public Health System in emergency care from January 2010 to December 2014. Data were collected from the DATASUS public health database using filters to select patients; results were presented descriptively and as proportions. The standardized incidence of femur fracture was calculated by sex and age for 10,000 inhabitants in Paraná state and in Brazil for the year 2012. Results: During the study period, 11,226 fractures were registered, 66.8% in women and 33.2% in men. There was a preponderance of fractures in Caucasians and in older age groups. Mortality during hospitalization was 5.9%, higher in males, in patients aged ≥80 years, and in Blacks and Asians. The total cost was R$ 29,393,442.78 and the average cost per hospitalization was R$ 2,618.34. The eastern region of the state had the highest rate of fractures, predominantly in the capital, Curitiba. The standardized incidence rate was higher in females and in the population of Paraná. Conclusion: Femur fractures have a high incidence rate in the elderly population of Paraná and a large economic impact.

show abstract

“…2:8 As mudanças fisiológicas que ocorrem no envelhecimento podem levar à diminuição da capacidade funcional a médio e longo prazo, as quais tornam os idosos mais suscetíveis à fragilidade e à dependência de cuidados. 4 Essas limitações podem ser superadas ou minimizadas se, ao longo do processo de viver, as pessoas adquirirem hábitos de vida saudáveis e contarem com oportunidades de integração social, segurança e bem-estar. Vale lembrar que essas condições não dependem exclusivamente de escolha pessoal, mas também das oportunidades oferecidas pelo contexto social e político.…”

Section: Introductionunclassified

Influência dos determinantes do envelhecimento ativo entre idosos mais idosos

Farias

Santos

2012

Texto contexto - enferm.

View full text Add to dashboard Cite

RESUMO:Estudo quantitativo, transversal, exploratório-descritivo, cujo objetivo foi averiguar o envelhecimento ativo, segundo seus determinantes, entre os idosos mais idosos de um município do interior de Santa Catarina. A coleta dos dados ocorreu de julho a agosto de 2009, através de entrevistas com 87 idosos, com 80 anos ou mais, de ambos os sexos, utilizando-se de check-list elaborado a partir dos determinantes do envelhecimento ativo. Fizeram-se análises descritivas dos dados, medidas descritivas de centralidade e dispersão. Os resultados mostraram paridade de gênero, que os sujeitos eram na maioria brancos, católicos, com baixa renda e escolaridade. Mesmo aposentados, 60,92% continuam exercendo atividades laborais; 70,11% têm casa própria; 48,28% frequentam ambientes coletivos; 81,61% estão satisfeitos com a vida e 48,28% não dependem de um cuidador. Conclui-se que mesmo não alcançando todos os determinantes do envelhecimento ativo, estes idosos mantêm sua independência e autonomia, garantindo qualidade de vida. DESCRITORES:Envelhecimento. Idoso de 80 anos ou mais. Autonomia pessoal. DETERMINANTS INFLUENCE OF AGING ACTIVE AMONG ELDERLY MORE ELDERLYABSTRACT: This objective of this quantitative, cross-sectional, exploratory, and descriptive study was to verify active aging according to its determinants among the older elderly in a rural county of Santa Catarina, Brazil. Data was collected between July and August of 2009 through interviews with 87 male and female elderly who were 80 years old or older, using a checklist elaborated from the active aging determinants. Descriptive analyses were performed on the data along with descriptive measurements of centrality and dispersion. Results showed gender parity; the majority of the subjects were Caucasian Catholics with low incomes and education levels. Even retired, 60.92% continue exercising work activities; 70.11% have their own houses; 48.28% attend group environments; 81.61% are satisfied with their lives; and 48.28% do not depend on a caregiver. We conclude that even without reaching all of the active aging determinants, these elderly maintain their independence, autonomy, and ensure their quality of life. DESCRIPTORS:Aging. Aged, 80 and over. Personal autonomy. INFLUENCIA DEL DETERMINANTES ENVEJECIMIENTO ACTIVO ENTRE LOS ANCIANOS MAYORESRESUMEN: Estudio cuantitativo, transversal, exploratorio, descriptivo, cuyo objetivo fue averiguar el envejecimiento activo, según sus determinantes, entre los ancianos más viejos en un municipio del interior de Santa Catarina. La obtención de los datos se realizó entre Julio y Agosto del 2009, através de entrevistas con 87 ancianos con 80 años o más, de ambos sexos. Se utilizó check-list elaborada de los determinantes del envejecimiento activo. Hicieron análisis descriptivos, medidas descriptivas de centralidad y dispersión. Los resultados mostraron una paridad de géneros, que las personas eran, mayormente, de raza blanca, católicos, con bajo salario y escolaridad. Aun estando jubilados, el 60,92% continúa ejerciendo activid...

show abstract

Morbimortalidade em idosos por fratura proximal do fêmur

Cited by 53 publications

References 10 publications

The Impact of Prefracture and Hip Fracture Characteristics on Mortality in Older Persons in Brazil

The Impact of Prefracture and Hip Fracture Characteristics on Mortality in Older Persons in Brazil

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

Influência dos determinantes do envelhecimento ativo entre idosos mais idosos

Contact Info

Product

Resources

About