Evaluation of postoperative mortality of femoral fractures in elderly with previous comorbidities
DOI:
https://doi.org/10.33233/fb.v22i1.4514Keywords:
femoral fractures; aged; hepatic insufficiency; cardiovascular diseasesAbstract
Introduction: Falls are the leading cause of accidents and death in those aged 65 and above. The high incidence of these injuries impact patients, their families and it represents an economic problem for society. Objective: Collect data from the admission survey and correlate previous comorbidities to mortality in 30 days after surgery. Methods: Retrospective observational non-randomized study. 216 patients were included, aged 61 years or older, who were admitted at the emergency department of the Centro Hospitalar São Lucas in Niterói city, Rio de Janeiro. All the participants were candidates of hip fracture surgery between 03/30/2016 and 03/20/2018. Results: The mortality after hip surgery was 6.9% in the first month. Patients who underwent hip surgery had, previously, cardiovascular diseases (75.9%). Death was associated with liver comorbidity in 13.3% and low weight in 33.3%. The fact of having two or more comorbidities was not associated with death. Conclusion: Liver and cardiovascular diseases and low weight are important prognostic predictors in mortality of patients over 61 years of age after femoral fracture surgery in the first month.
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Copyright (c) 2021 Victor Bezerra de Menezes Monnerat, Carolina de Paula Orioli da Silva, Alice Maria Pereira Ramos, Marcelo Bezerra Mathias, Pietro Novellino, Stenio Karlos Alvim Fiorelli, Rossano Kepler Alvim Fiorelli
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