CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(04): 402-407
DOI: 10.1055/s-0039-1692179
Artigo Original | Original Article
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Predictive Factors of Death after Surgery for Treatment of Proximal Femoral Fracture[*]

Article in several languages: português | English
1  Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Armando D'Lucca de Castro e Silva
1  Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Adriano Fernando Mendes Junior
1  Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Felipe Jader Coelho Pereira
1  Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Igor Gerdi Oppe
1  Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Elmano de Araújo Loures
1  Departamento de Sistema Musculoesquelético, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
› Author Affiliations
Further Information

Publication History

15 October 2017

06 August 2018

Publication Date:
20 August 2019 (online)

Abstract

Objective To evaluate predictive factors of death in patients aged ≥ 70 years old with proximal femoral fracture (PFF) submitted to surgical treatment.

Methods An analysis of medical records by creating a retrospective cohort with a 6-month follow-up. A total of 124 charts were analyzed after applying the inclusion and exclusion criteria. All of the patients were treated by a single orthopedic surgeon under uniform conditions.

Results The mortality rate was of 34.7%, and the most common profile was female, 85 years old, and with at least 1 comorbidity. Patients > 85 years old, hospitalized for > 7 days, with at least 1 comorbidity, and staying at the intensive care unit (ICU) had a higher risk of death (2, 2.5, 4, and 4 times higher, respectively).

Conclusion Regarding the death outcome, although we did not find a statistically significant difference in the topography of the lesion and in its behavior in its coexistence with ICU hospitalization, we believe that further investigations under this perspective are required in a population with the studied profile.

* Work performed at the Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.