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Epidemiology of fractures of the proximal third of the femur in elderly patients.

Daniachi D, Netto Ados S, Ono NK, Guimarães RP, Polesello GC, Honda EK - Rev Bras Ortop (2015)

Bottom Line: The patients attended at this institution presented an epidemiological profile similar to what is found in the Brazilian literature.Chronic kidney failure is a significant factor with regard to intra-hospital mortality.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.

ABSTRACT

Objective: This was an epidemiological study on fractures of the proximal third of the femur in elderly patients who were treated at a teaching hospital in the central region of São Paulo.

Methods: The subjects were patients over the age of 60 years who were attended over a 1-year period. A questionnaire seeking basic sociodemographic data and information on comorbidities presented and medications used was drawn up. The circumstances of the fractures and their characteristics, the treatment instituted and the intra-hospital mortality rate were evaluated.

Results: The 113 patients included in the study presented a mean age of 79 years. The ratio between the sexes was three women to each man. Only 30.4% of the patients reported having osteoporosis and only 0.9% had had treatment for the disease. Low-energy trauma was the cause of 92.9% of the fractures. Femoral neck fractures accounted for 42.5% of the fractures and trochanteric fractures, 57.5%. Five patients did not undergo operations; 39 underwent joint replacement; and 69 underwent osteosynthesis. The mean length of hospital stay was 13.5 days and the mean length of waiting time until surgery was 7 days. The intra-hospital mortality rate was 7.1%.

Conclusion: The patients attended at this institution presented an epidemiological profile similar to what is found in the Brazilian literature. Chronic kidney failure is a significant factor with regard to intra-hospital mortality. Preventive measures such as early diagnosis and treatment of osteoporosis and regular physical activity practices were not implemented.

No MeSH data available.


Related in: MedlinePlus

The only risk factor that was found to separately increase mortality in the hospital was chronic kidney failure. The percentage of patients with kidney failure was significantly greater among the patients who died than among those who did not die.
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fig0005: The only risk factor that was found to separately increase mortality in the hospital was chronic kidney failure. The percentage of patients with kidney failure was significantly greater among the patients who died than among those who did not die.

Mentions: The only risk factor for higher mortality in the hospital that was found separately was chronic kidney failure. The percentage of the patients with kidney failure was significantly greater among the patients who died, in comparison with the patients who did not die (Fig. 1).


Epidemiology of fractures of the proximal third of the femur in elderly patients.

Daniachi D, Netto Ados S, Ono NK, Guimarães RP, Polesello GC, Honda EK - Rev Bras Ortop (2015)

The only risk factor that was found to separately increase mortality in the hospital was chronic kidney failure. The percentage of patients with kidney failure was significantly greater among the patients who died than among those who did not die.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563047&req=5

fig0005: The only risk factor that was found to separately increase mortality in the hospital was chronic kidney failure. The percentage of patients with kidney failure was significantly greater among the patients who died than among those who did not die.
Mentions: The only risk factor for higher mortality in the hospital that was found separately was chronic kidney failure. The percentage of the patients with kidney failure was significantly greater among the patients who died, in comparison with the patients who did not die (Fig. 1).

Bottom Line: The patients attended at this institution presented an epidemiological profile similar to what is found in the Brazilian literature.Chronic kidney failure is a significant factor with regard to intra-hospital mortality.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.

ABSTRACT

Objective: This was an epidemiological study on fractures of the proximal third of the femur in elderly patients who were treated at a teaching hospital in the central region of São Paulo.

Methods: The subjects were patients over the age of 60 years who were attended over a 1-year period. A questionnaire seeking basic sociodemographic data and information on comorbidities presented and medications used was drawn up. The circumstances of the fractures and their characteristics, the treatment instituted and the intra-hospital mortality rate were evaluated.

Results: The 113 patients included in the study presented a mean age of 79 years. The ratio between the sexes was three women to each man. Only 30.4% of the patients reported having osteoporosis and only 0.9% had had treatment for the disease. Low-energy trauma was the cause of 92.9% of the fractures. Femoral neck fractures accounted for 42.5% of the fractures and trochanteric fractures, 57.5%. Five patients did not undergo operations; 39 underwent joint replacement; and 69 underwent osteosynthesis. The mean length of hospital stay was 13.5 days and the mean length of waiting time until surgery was 7 days. The intra-hospital mortality rate was 7.1%.

Conclusion: The patients attended at this institution presented an epidemiological profile similar to what is found in the Brazilian literature. Chronic kidney failure is a significant factor with regard to intra-hospital mortality. Preventive measures such as early diagnosis and treatment of osteoporosis and regular physical activity practices were not implemented.

No MeSH data available.


Related in: MedlinePlus