Epidemiological profile and postoperative mortality of patients submitted to surgical treatment of proximal femur fracture
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Keywords

Orthopedics, Traumatology
Fractures
Femur
Mortality

How to Cite

Jubran, L. T., Marquêz, T. P., & Conejero, M. L. de S. R. (2022). Epidemiological profile and postoperative mortality of patients submitted to surgical treatment of proximal femur fracture. Journal of Medical Residency Review, 1(1), e022. https://doi.org/10.37497/JMRReview.v1i1.22

Abstract

Aim: To identify the epidemiological profile and assess the one-year mortality rate of elderly patients undergoing surgical treatment of proximal femur fractures at our Hospital.

Method: Sixty-eight patients treated in the period between 2020 and 2021 were included in this study, who were evaluated only based on their medical records already filed at the Service, without any new contact. The variables evaluated were age, sex, ethnicity, presence of comorbidities, side affected, type of fracture with its classification, and the trauma mechanism.

Results: Our study included patients with a mean age of 83 years, the vast majority were female and caucasian. The most frequent fractures in our sample were located in the femoral neck, followed by transtrochanteric fractures, and occurred equally on the left and right sides. The most observed trauma mechanism was the fall from standing height, and the most commonly observed classification was Garden IV. Hipertension and Diabetes mellitus were the most commonly reported comorbidities by patients. Of the total sample, 13 patients died (19%).

Conclusion: One-year mortality of elderly people operated on for femur fractures is still high in our Department. Therefore, there is a need for an attentive clinical follow-up for the general assessment and control of comorbidities in patients with femoral fractures, seeking to reduce the mortality associated with that condition.

https://doi.org/10.37497/JMRReview.v1i1.22
PDF (Português (Brasil))

References

ALSHEIKH, K. A. et al. One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center. Annals of Saudi Medicine, v. 40, n. 4, p. 298–304, ago. 2020.

AO FOUNDATION. AO Foundation: Transforming Surgery–Changing Lives. Disponível em: <https://www.aofoundation.org/>. Acesso em: 14 mar. 2022.

ARLIANI, G. G. et al. Correlação entre tempo para o tratamento cirúrgico e mortalidade em pacientes idosos com fratura da extremidade proximal do fêmur. Revista Brasileira de Ortopedia, v. 46, p. 189–194, 2011.

BEALS, R. K. Survival following hip fracture: long follow-up of 607 patients. Journal of Chronic Diseases, v. 25, n. 4, p. 235–244, 1972.

BLACK, D. M.; ROSEN, C. J. Clinical Practice. Postmenopausal Osteoporosis. The New England Journal of Medicine, v. 374, n. 3, p. 254–262, 21 jan. 2016.

COOPER, C.; CAMPION, G.; MELTON, L. J. Hip fractures in the elderly: a world-wide projection. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, v. 2, n. 6, p. 285–289, nov. 1992.

CUEVAS-TRISAN, R. Balance Problems and Fall Risks in the Elderly. Physical Medicine and Rehabilitation Clinics of North America, v. 28, n. 4, p. 727–737, nov. 2017.

DANIACHI, D. et al. Epidemiology of fractures of the proximal third of the femur in elderly patients. Revista Brasileira De Ortopedia, v. 50, n. 4, p. 371–377, ago. 2015.

FISCHER, H. et al. Management of proximal femur fractures in the elderly: current concepts and treatment options. European Journal of Medical Research, v. 26, p. 86, 4 ago. 2021.

GLICK, Y.; DREXLER, M. Factors influencing functional recovery after femoral neck fractures in the elderly. Harefuah, v. 159, n. 11, p. 826–828, nov. 2020.

LEAL, J. A. et al. Patients aged ninety years and older are exposed to increased risk of one-year mortality after hip fractures. European Journal of Orthopaedic Surgery & Traumatology: Orthopedie Traumatologie, v. 31, n. 7, p. 1501–1506, out. 2021.

MATÍA-MARTÍN, P. et al. Effects of Milk and Dairy Products on the Prevention of Osteoporosis and Osteoporotic Fractures in Europeans and Non-Hispanic Whites from North America: A Systematic Review and Updated Meta-Analysis. Advances in Nutrition, v. 10, n. Suppl 2, p. S120–S143, maio 2019.

MERINO-RUEDA, L. R. et al. Mortality after distal femur fractures in the elderly. Injury, v. 52 Suppl 4, p. S71–S75, jul. 2021.

ORMEÑO ILLANES, J. C. R.; QUEVEDO LANGENEGGER, I. Higher latitude and lower solar radiation influence on hip fracture admissions in Chilean older population. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, v. 32, n. 10, p. 2033–2041, out. 2021.

PEREIRA, S. R. et al. The impact of prefracture and hip fracture characteristics on mortality in older persons in Brazil. Clinical Orthopaedics and Related Research®, v. 468, n. 7, p. 1869–1883, 2010.

RAPP, K. et al. Epidemiology of hip fractures. Zeitschrift für Gerontologie und Geriatrie, v. 52, n. 1, p. 10–16, 1 fev. 2019.

RIBEIRO, T. A. et al. Predictors of hip fracture mortality at a general hospital in South Brazil: an unacceptable surgical delay. Clinics (Sao Paulo, Brazil), v. 69, n. 4, p. 253–258, 2014.

SAKAKI, M. H. et al. Estudo da mortalidade na fratura do fêmur proximal em idosos. Acta Ortopédica Brasileira, v. 12, n. 4, p. 242–249, 2004.

SCHULTZ, K. A. et al. Elevated 1-year mortality rate in males sustaining low-energy proximal femur fractures and subgroup analysis utilizing age-adjusted Charlson comorbidity index. Geriatric orthopaedic surgery & rehabilitation, v. 11, p. 2151459319898644, 2020.

VERBEEK, D. O. F. et al. Effect of surgical delay on outcome in hip fracture patients: a retrospective multivariate analysis of 192 patients. International orthopaedics, v. 32, n. 1, p. 13–18, 2008.

VILAS-BÔAS JÚNIOR, A. et al. Estudo epidemiológico de fraturas de fêmur proximal em idosos. Acta ortop. bras, p. 122–6, 1996.

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