Mariano de Miguel Artal1, Olga Roca Chacón2, Montse Martínez-Alonso3, Marcos Serrano Godoy2, Jaume Mas Atance4, Roberto García Gutiérrez2. 1. Servicio de Geriatría, Hospital Universitari Santa María-Gestió de Serveis Sanitaris, Lleida, España. Electronic address: mdmartal@gmail.com. 2. Servicio de Geriatría, Hospital Universitari Santa María-Gestió de Serveis Sanitaris, Lleida, España. 3. Unidad de Bioestadística (BioStat, IRBLLeida) y Ciencias Médicas Básicas, Universitat de Lleida (UdL), Lleida, España. 4. Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari Arnau de Vilanova, Lleida, España.
Abstract
OBJECTIVE: The aim of this study is to identify the risks factors for mortality and functional recovery in elderly patients admitted to hospital with a hip fracture. MATERIALS AND METHODS: Longitudinal prospective study in patients 80 years old or more and patients between 75 and 79 in residential home care with a hip fracture and with a past medical history of dementia or followed-up by the Geriatric Unit. A total of 359 patients were included, and the demographic data, previous functional status, comorbidity, type of fracture, and dementia were recorded. The data collected during admission included time to surgery, delirium, functional recovery, length of stay, placement at discharge, and mortality. Patients were followed-up for one year and details were collected on placement at the end of follow-up, functional recovery, medical complications, and mortality. RESULTS: The baseline characteristics of the patients with a strong association with mortality after a hip fracture were old age (> 92 years), medical complications delaying surgery (HR 2.17; 95% CI; 1.27-3.73), diagnosis of dementia (HR 1.78; 95% CI; 1.15-2.75), or heart failure (HR 1.75; 95% CI; 1.12-2.75). The fitted multivariable regression models showed that functional impairment before the hip fracture or lack of functional recovery are associated with higher mortality, and patients with increased age, delirium, dementia, and previous functional impairment showed worse functional recovery. CONCLUSION: In the elderly patients with a hip fracture, increased age, comorbidity and previous functional status is associated with mortality. Functional recovery prognosis will depend on age, previous functional status, past medical history of dementia, and the presence of delirium during admission. Publicado por Elsevier España, S.L.U.
OBJECTIVE: The aim of this study is to identify the risks factors for mortality and functional recovery in elderly patients admitted to hospital with a hip fracture. MATERIALS AND METHODS: Longitudinal prospective study in patients 80 years old or more and patients between 75 and 79 in residential home care with a hip fracture and with a past medical history of dementia or followed-up by the Geriatric Unit. A total of 359 patients were included, and the demographic data, previous functional status, comorbidity, type of fracture, and dementia were recorded. The data collected during admission included time to surgery, delirium, functional recovery, length of stay, placement at discharge, and mortality. Patients were followed-up for one year and details were collected on placement at the end of follow-up, functional recovery, medical complications, and mortality. RESULTS: The baseline characteristics of the patients with a strong association with mortality after a hip fracture were old age (> 92 years), medical complications delaying surgery (HR 2.17; 95% CI; 1.27-3.73), diagnosis of dementia (HR 1.78; 95% CI; 1.15-2.75), or heart failure (HR 1.75; 95% CI; 1.12-2.75). The fitted multivariable regression models showed that functional impairment before the hip fracture or lack of functional recovery are associated with higher mortality, and patients with increased age, delirium, dementia, and previous functional impairment showed worse functional recovery. CONCLUSION: In the elderly patients with a hip fracture, increased age, comorbidity and previous functional status is associated with mortality. Functional recovery prognosis will depend on age, previous functional status, past medical history of dementia, and the presence of delirium during admission. Publicado por Elsevier España, S.L.U.
Entities:
Keywords:
Elderly patient; Fractura de cadera; Functional recovery; Hip fracture; Mortalidad; Mortality; Paciente anciano; Recuperación funcional
Authors: Eliseo Ramírez-García; Guadalupe S García de la Torre; Erika Judith Rodríguez Reyes; Karla Moreno-Tamayo; María Claudia Espinel-Bermudez; Sergio Sánchez-García Journal: Clin Interv Aging Date: 2021-08-17 Impact factor: 4.458
Authors: Carmen da Casa; Carmen Pablos-Hernández; Alfonso González-Ramírez; José Miguel Julián-Enriquez; Juan F Blanco Journal: BMC Geriatr Date: 2019-08-01 Impact factor: 3.921