Hip Fracture: Post-Operative Evaluation of Clinical and Functional Outcomes

Abstract

Objective: To evaluate the clinical and functional outcomes from patients undergoing surgery to treat hip fractures, with regard to the ASA score and time spent waiting for definitive surgical treatment. Method: Over a one-year period, 154 patients with hip fractures, aged 65 years and over, underwent operations. Data on the preoperative ASA score and the time spent waiting for the operation were obtained. Two years after the operation, Zuckerman‘s Functional Recovery Score (FRS) questionnaire was used to assess the patients' current functional capacity. Results: Mortality during the first postoperative year differed between patients with ASA 3 or 4 and those classified as ASA 1 or 2 (significant data; p < 0.05). Mortality up to the end of the second postoperative year was significantly higher (p < 0.05) in the ASA 3 or 4 group. The preoperative ASA score did not demonstrate any significant relationship with the patients' current functional capacity (p > 0.05). There was no significant difference between the group operated within 48 hours of admission and the group operated after 48 hours, in relation to mortality or current functional capacity (p > 0.05). The group aged 80 years and over showed significantly higher mortality (p < 0.05) than the group aged 65 to 79 years up to the end of the second postoperative year. Conclusion: The preoperative ASA score and an age of 80 years or over may be considered to be factors associated with higher mortality two years after hip fracture surgery. In isolation, time spent waiting for surgery was not significant.

A relação do escore de Lee com a mortalidade pós-operatória em pacientes com fraturas de fêmur proximal

“…The Lee score can be compared to another presurgical evaluation tools, such as the American Society of Anesthesiologists (ASA) score. A Brazilian study 14 has shown a correlation between this latter method and mortality after hip fracture surgical correction. 14 Both consider criteria which, isolated, are significant in the onset of fatalities.…”

“…A Brazilian study 14 has shown a correlation between this latter method and mortality after hip fracture surgical correction. 14 Both consider criteria which, isolated, are significant in the onset of fatalities. Cardiac insufficiency, for instance, is one of the cardiac conditions with the highest mortality rate in non-cardiological procedures, as well as aortic stenosis and pulmonary hypertension.…”

Injury specific trauma registry: Outcomes of a prospective cohort with proximal femur fractures

“…Validated scoring scales provide valuable information about the patients’ progress after proximal femur fracture management, and can show which procedure has the best outcome [7,8]. Modified Harris Hip Score (modified HHS) has acceptable validity to assess functional and clinical outcomes after proximal femur fracture management [9,10].…”

Translation and transcultural adaptation of the Hip Fracture Recovery Score assessment tool

“… 6 Subsequently, another study involved 154 fractures of the proximal third of the femur treated surgically and used the Hip Function Recovery Score questionnaire ( Appendix A ) created by Zuckerman et al 7 , 8 , 9 It consists of 11 questions related to the activities of daily living: four related to independence in basic activities, six to instrumental activities and one to mobility. 10 However, this questionnaire was used in its original version, in the English language, after its literal translation. 10 …”

“… 10 However, this questionnaire was used in its original version, in the English language, after its literal translation. 10 …”