Evolution of Brazilian Elderly With Hip Fracture Secondary to a Fall

Garcia, Rosamaria Rodrigues; Leme, Mariana Deckers; Leme, Luiz Eugênio Garcez

doi:10.1590/s1807-59322006000600009

Cited by 60 publications

(98 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous retrospective studies from Brazil have reported 6.5% inhospital mortality [15]. The 1-year mortality of 35% in our study was high compared with the rates in previous studies from developed countries, in which mortality rates were reported between 15% and 25% [6,16,18,20,21,31], but in agreement with previous reports from Brazil by Garcia et al [15] who reported 30% and Fortes et al [11] who reported 23% after 6 months. Our 1-year mortality rate is in disagreement with that of Vidal et al [56] who reported a rate of 21.5%.…”

Section: Discussionsupporting

confidence: 91%

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: 91%

“…In the first (65 patients) study, the 1-year mortality rate was reported as 30% [15]. In the second study, 89 charts were reviewed and an inhospital mortality of 14% but no 1-year mortality was reported [38].…”

Section: Introductionmentioning

confidence: 99%

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

“…Em um estudo retrospectivo realizado em São Paulo, 56 pacientes idosos que sofreram fratura de fêmur apresentaram mortalidade geral em um ano de 30,5% 6 . Outra pesquisa retrospectiva executada no Rio de Janeiro (3.754 pacientes idosos) aponta uma taxa de mortalidade de 21,5% em um ano 7 .…”

Section: Introductionunclassified

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

Bortolon

Andrade

2011

Cad. Saúde Pública

View full text Add to dashboard Cite

A osteoporose é uma síndrome multifatorial do esqueleto, sendo a fratura de fêmur a mais séria consequência para idosos, devido à alta mortalidade e ao custo. Este trabalho descreveu as fraturas osteoporóticas de fêmur em idosos para o Brasil, no triênio 2006-2008. A Autorização de Internação Hospitalar (AIH) foi utilizada como base secundária de dados e permitiu criar indicadores para fratura de fêmur em idosos. As proporções de idosos internados no Sistema Único de Saúde (SUS) por esta causa chegaram a 1%. Os percentuais de internação e óbitos foram maiores no sexo feminino e aumentaram com a idade. Os gastos foram de aproximadamente 2% dos gastos do SUS para pessoas com 60 anos ou mais. A maioria das internações durou de um a sete dias; 50,1% ocorreram em hospitais filantrópicos; e 42,7% aconteceram fora do município de residência. Os resultados reforçam a necessidade de maior atenção para a osteoporose e mostram a relevância dos gastos públicos com internações de idosos por fratura osteoporótica de fêmur. A compreensão de tais internações auxilia a formulação de políticas de saúde para esta causa.

show abstract

“…Older adults often seek outpatient care to treat these consequences that affect the functionality and quality of life of this age group. Studies of this nature are important because they describe the profile of the older adults that are at greater risk of falling, which can prevent the occurrence of this event, maintain a standard of quality of life for older adults and reduce costs to the country's public health system 5,11,12 .…”

Section: Introductionmentioning

confidence: 99%

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Gomes¹,

Cintra²,

Diogo³

et al. 2009

Rev. bras. fisioter.

View full text Add to dashboard Cite

Objectives: The aim of this study was to determine the relationship between sociodemographic, clinical, physical and functional data according to physical performance and number of falls among older fallers. Methods: Cross-sectional study carried out among 72 older adults (76.3 ±8.3 years) with a history of falls in the past year, 65.3% of which were women. The participants received care at the geriatric outpatient clinic of a university hospital in Campinas, SP. They were divided into the following groups: worst physical performance (WPP) and best physical performance (BPP), one-time fallers (1F) and frequent fallers (2F). Sociodemographic, clinical, physical and functional characteristics were considered as independent variables. Comparison analysis between the groups was conducted. Results: The WPP group was older and had a higher number of illnesses and less independence in most motor dimension tasks compared to the BPP group. The 2F group had a higher number of illnesses, less handgrip strength and less independence in the bowel management task in the motor dimension of the Functional Independence Measure (FIM) compared to the 1F group. Conclusions:Among older adults fallers, poor physical performance is associated with more advanced age, more illnesses and less functional independence. Moreover, recurrent falls are associated with more illnesses, less muscle strength and less functional independence in the bowel management task.Key words: activities of daily living; muscle strength; musculoskeletal equilibrium; gait; exercise; aging. ResumoObjetivos: Analisar, entre idosos com ocorrência de quedas, a relação entre as variáveis sociodemográficas, clínicas, físicas e funcionais segundo as variáveis critério desempenho físico e número de quedas. Métodos: Estudo transversal com 72 idosos (76,3±8,3 anos) que sofreram quedas no último ano, sendo 65,3% mulheres, atendidos no ambulatório de geriatria de um hospital universitário de Campinas, SP. Os idosos foram divididos em grupo com pior (PDF) e grupo com melhor desempenho físico (MDF), e em grupo com uma queda (1Q) e grupo com duas quedas ou mais (2Q). As características sociodemográficas, clínicas, físicas e funcionais foram as variáveis independentes do estudo. Foi realizada análise de comparação entre os grupos. Resultados: Os idosos do grupo PDF tiveram maior faixa etária, maior número de doenças e menor independência na maior parte das tarefas da dimensão motora em relação ao grupo MDF. Os idosos do grupo 2Q apresentaram maior número de doenças, menor força de preensão manual e menor independência na tarefa "controle das fezes" na dimensão motora da medida de independência funcional (MIF) em relação ao grupo 1Q. Conclusões: Entre idosos que já caíram, piores níveis de desempenho físico relacionam-se com maior faixa etária, mais doenças e menos independência funcional. Além disso, ter sofrido quedas recorrentes relaciona-se com mais doenças, menos força muscular e menos independência funcional na tarefa de controle de fezes.

show abstract

Evolution of Brazilian Elderly With Hip Fracture Secondary to a Fall

Cited by 60 publications

References 19 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

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

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Contact Info

Product

Resources

About