2/27/2024 0 Comments Femur break deathExclusion criteria were: fractures related to bone tumor or osteomyelitis, patients with osteosynthesis revision or hip arthroplasty and medical records with incomplete data regarding the diagnosis or surgery performed.Ī total of 399 medical records of patients > 90 years old diagnosed with proximal femoral fracture who underwent surgery were initially selected. The fracture was anatomically classified by an orthopedic physician specialized in the area, in the orthopedic emergency room, and confirmed by the orthopedic surgeon in the backup hospital. The signing of the informed consent form was unnecessary. This is a clinical, observational, retrospective, case-control study, in which the medical records of patients of both genders, > 90 years old, subjected to surgery, diagnosed with isolated proximal femoral fracture (transtrochanteric or neck) between January and December 2017 were included, without convocation, interview or intervention. The Strengthening the Reporting of Observational Studies in Epidemiology - STROBE guide for observational studies was used to design the methodology of the study. ![]() The guideline to good clinical practice and the Declaration of Helsinki were respected during its implementation. The study was initiated after approval by the institutional ethics committee and Plataforma Brasil (CAAE: 309954.8114). Therefore, this study aimed to analyze predictive factors for hospital or late mortality in patients > 90 years old diagnosed with proximal femoral fracture and who underwent surgery. ( 5įew studies analyze clinical outcomes, with representative sample, in the subgroup of patients with hip fractures and aged > 90 years. Age > 85 years is considered an independent risk marker for death one year after proximal femoral fracture. Many studies focus on identifying patients with hip fractures who have a higher risk of morbidity and mortality because of the effect on patients and their families, as well as on the health care system. Death is estimated to occur in 12% to 37% of the older adults one year after the fracture and that one out of 15 older adults with hip fractures die while hospitalized. 1 Femoral fractures are associated with bone and systemic frailty, which cause high rate of functional loss and mortality. ![]() The annual number of hip fractures is expected to exceed six million by 2050 due to the worldwide progressive population aging, which makes this condition a serious public health problem.
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