OBJECTIVE: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. METHOD: In total, 298 patients were treated according to the program's protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan-Meier analysis. RESULTS: The annual survival rate increased from 80% to 89% ( p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality. DISCUSSION: This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes.
OBJECTIVE: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. METHOD: In total, 298 patients were treated according to the program's protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan-Meier analysis. RESULTS: The annual survival rate increased from 80% to 89% ( p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality. DISCUSSION: This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes.
Entities:
Keywords:
Latin America; geriatrics; hip fractures; orthogeriatric care program; orthopedic trauma
Authors: Andre Moreira Fogaça de Souza; Abner Macola; David Nicoletti Gumieiro; Gustavo Augusto Nicolodi; Rodrigo Moreira E Lima; Marcos Ferreira Minicucci; Paula Schmidt Azevedo; Opinder Sahota; Lais Helena Navarro E Lima Journal: Int Orthop Date: 2022-05-24 Impact factor: 3.479
Authors: Carlos Mario Olarte; Mauricio Zuluaga; Adriana Guzman; Julian Camacho; Pieralessandro Lasalvia; Nathaly Garzon; Laura Prieto; Carmen Elisa Nuñez; Jose Acuña; Alejandro Mejía; Maria Claudia García Journal: Colomb Med (Cali) Date: 2021-06-12