Mortality within 1 year after hip fracture surgical repair in the elderly according to postoperative period: a probabilistic record linkage study in Brazil

Abstract

We found an overall 21.5% (95% CI 18.2-24.9) mortality rate in 1 year and a statistically significant SMR of 1,080 (95% CI 794-1450) and 512.8 (95% CI 366.4-698.3) for the first two periods, 1-30 days and 31-90 days after hospital admission, respectively. For the last period the SMR displayed a statistically nonsignificant trend of 137 (95% CI 99-183). Even in the first 15 days after the index hospital admission, most deaths (55.1%) occurred after hospital discharge, reinforcing the importance of linking hospital mortality databases with general population mortality information systems. The leading three basic causes of death, as reported in death certificates, were cardiovascular events, falls, and infections. This study represents an example of the application of PRL methodology to produce relevant data on hip fracture, a subject of rising epidemiological importance in developing countries.

Fratura de quadril em idosos: tempo de abordagem cirúrgica e sua associação quanto a delirium e infecção

“…We found a higher incidence of hip fracture in women (81%), which is consistent to literature, in which some studies report an incidence among the overall elderly population twice to three times higher in women compared to men (1,15) . The mean age found in this study was 79.23 years, which was also consistent to literature reports, ranging from 78.2 to 82 years old (6,15) . In the present study, 38% of the assessed population presented with no comorbidities.…”

“…In this study, surgical treatment after 48 hours of admission was associated with a higher frequency of complications such as infections and delirium. vidual are the ones occurring at the proximal femoral end, with a mean mortality rate of 30% in the first 6 months after trauma, and lost independence in 50% of the cases (3)(4)(5)(6) . Surgical approach is the key element when addressing hip fractures.…”

“…The use of prophylactic intraoperative antibiotic therapy has been shown to substantially reduce the incidence of urinary tract infection (16) . Thus, literature reports show that the early surgical treatment in the elderly population with hip fractures provides lower complication rates (6) . In our environment, few data are available addressing this topic.…”

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

“…Outra pesquisa retrospectiva executada no Rio de Janeiro (3.754 pacientes idosos) aponta uma taxa de mortalidade de 21,5% em um ano 7 . Em Minas Gerais, 153 ARTIGO ARTICLE pacientes idosos que sofreram fratura de fêmur foram reavaliados e, após um ano de internação, a mortalidade foi de 25% 8 .…”

The burden of osteoporosis in Brazil

“…Most of those deaths (55.1%) also occurred after hospital discharge, and were chiefly associated with car diovascular events or infections (36).…”