Morbimortalidad en fracturas de húmero proximal tratadas quirúrgicamente

Isart, Anna; Sánchez, Juan F.; Santana, Fernando; Puig, Lluís; Cáceres, Enrique Cerrillo Martín de; Torrens, Carlos

doi:10.1016/j.recot.2014.02.003

Cited by 1 publication

(1 citation statement)

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“…Patients who progress to death after the occurrence of proximal humeral fracture have a higher incidence of associated comorbidities. ( 10 The main comorbidities found in our study were also arterial hypertension and DM, in agreement with the literature.…”

Section: Discussionsupporting

confidence: 92%

Mortality After Surgical Treatment of Proximal Humerus Fractures in Older Patients

et al. 2022

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Mortality of patients after osteosynthesis of proximal humeral fractures (PHF) has been poorly studied in contrast to fractures of the proximal femur. Objective: To evaluate the mortality of older patients with PHF undergoing surgical treatment. Methods: Retrospective study of patients undergoing surgical treatment PHF between 2009-2019. Demographic data, Neer classification, and mortality of this cohort of patients were evaluated. Non-categorical variables were tested using the Kolmogorov-Smirnov test. The unpaired t-test (parametric variables) was used. Categorical variables were tested by Fisher’s exact test. A Kaplan-Meier mortality curve was constructed. Results: 59 patients were evaluated. There was a predominance of females in the sixth decade of life. The most prevalent fractures were Neer’s type III. The highest mortality occurred in the first 4 years after surgery (4.1 + 3.2 years). The only comorbidity capable of changing the survival curve was DM (p = 0.03) Conclusion: Overall mortality was 11.3%. The highest mortality occurred in the first 4 years of follow-up. Diabetic patients evolve with earlier mortality and have 7 times more chance of death. Level of Evidence III, Retrospective Study.

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Section: Discussionsupporting

confidence: 92%