Mortality in Patients with Intertrochanteric Fracture Operated Between 2019-2021 in a High Complexity Institution
Resumen
Objective: It was defined to determine mortality in adult patients with this type of fracture who underwent surgery between 2019 and 2021 in a first-level complexity institution. Method: An analytical, cross-sectional, retrospective study was carried out. Results: Finding a significant association between the origin, the classification of the fracture, and the associated injuries concerning mortality, but these variables did not behave as predictors of it. The Kaplan-Meier analysis showed that survival decreases concerning the time of the intervention from 20 hours post-surgery, with an average of 44.3 hours (95% CI: 736-909), but with no statistically significant difference (p=0.388). Conclusion: Mortality in adult patients with intertrochanteric fractures taken to surgical management may be associated with age, gender, delay in the time of care, delay in the time of surgical intervention, and ethnicity. However, a greater number of studies are required to assess with higher accuracy the behaviour of mortality in adult patients with intertrochanteric fractures taken to surgical management. Consequently, acquiring an enrich understanding in terms of evidence and favouring even deeper data of the outcome of surgical management in these cases.
Descargas
Citas
Rangel-Flores JM. Clinical-epidemiological and therapeutic aspects in patients with hip fracture. Acta Ortop Mex 2013;27(6):375–379
Viveros-García JC, Torres-Gutiérrez JL, Alarcón-Alarcón T, et al. Fragility hip fracture in Mexico: Where are we today? Where do we want to go? Acta Ortop Mex. 2018;32(6):334–341.
Sambrook P, Cooper C. Osteoporosis. Lancet 2006;367(9725):2010–2018
Vedia Urgell C, Massot Mesquida M, VallesFernandez R, et al. Adequacy of the treatment of osteoporosis in primary prevention. A quantitative and qualitative study. Aten Primaria 2018;20(1):6–15
Black DM, Rosen CJ. Postmenopausal osteoporosis. NEJM 2016;374(3):254–262
Johansson H, Clark P, Carlos F, et al. Increasing age- and sex-specific rates of hip fracture in Mexico: a survey of the Mexican Institute of Social Security. Osteoporos Int 2011;22(8):2359–2364
González ID, Becerra MC, González J, et al. Hip fractures: Post-surgical satisfaction the following year in older adults treated at Méderi-Hospital Universitário Mayor, Bogotá, DC. Rev Cienc Sal 2016;14(03):411–424
Sanguino DFC, Melo AEA, Quintero NRR, Quintero SEV. Epidemiology of hip fracture in adults treated at a tertiary care hospital. Rev Invest Salud Univ Boy 2020;7(2):18–32
Bekeris J, Wilson LA, Bekere D, et al. Trends in Comorbidities and Complications Among Patients Undergoing Hip Fracture Repair. Anesth Analg. 2021;132(2):475-484
Kanters TA, van de Ree CLP, de Jongh MAC, Gosens T, Hakkaart-van Roijen L. Burden of illness of hip fractures in elderly Dutch patients. Arch Osteoporos. 2020;15(1):11
Pollmann CT, Røtterud JH, Gjertsen J, et al. Fast track hip fracture care and mortality – an observational study of 2230 patients. BMC Musc Disord. 2019 Dec 24;20(1):248
Jantzen C, Madsen CMan M, Lauritzen JB, Jørgensen HL. Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012. Acta Orthop 2018;89(2):170–176
Chen X, Liao Z, Shen Y, Dong B, Hou L, Hao Q. The Relationship between Pre-Admission Waiting Time and the Surgical Outcomes after Hip Fracture Operation in the Elderly. J Nutr Health Aging 2021;25(8):951-955
Pedersen AB, Ehrenstein V, Szépligeti SK, et al. Thirty-five-year Trends in First-time Hospitalization for Hip Fracture, 1-year Mortality, and the Prognostic Impact of Comorbidity: A Danish Nationwide Cohort Study, 1980-2014. Epidemiology 2017;28(6):898-905
Roy D, Pande S, Thalanki S, et al. Hip fractures in elderly patients with non-dialysis dependent chronic kidney disease. Medicine 2021;100(27):e26625
Prosso I, Oren N, Livshits G, Lakstein D. Incidence and Mortality Rate of Hip Fractures in Different Age Groups during the First Wave of the COVID-19 Pandemic. Isr Med Assoc J 2021;23(8):475–478
HIP ATTACK Investigators. Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial [published correction appears in Lancet 2021;398(10315):1964]. Lancet 2020;395(10225):698-708
Prosso I, Oren N, Livshits G, Lakstein D. Incidence and Mortality Rate of Hip Fractures in Different Age Groups during the First Wave of the COVID-19 Pandemic. Isr Med Assoc J 2021;23(8):475–478
Lunde A, Tell GS, Pedersen AB, et al. The role of comorbidity in mortality after hip fracture: a nationwide Norwegian Study of 38,126 women with hip fracture matched to a general-population comparison cohort. Am J Epidemiol 2019;188(2):398–407
Tsang C, Boulton C, Burgon V, et al. Predicting 30-day mortality after hip fracture surgery: evaluation of the national hip fracture database case-mix adjustment model. Bone Joint Res 2017;6(9):550–6.
Medin E, Goude F, Melberg HO, et al. European Regional Differences in All-Cause Mortality and Length of Stay for Patients with Hip Fracture. Health Econ. 2015;24 Suppl 2:53-64
Muscedere J, Waters B, Varambally A, et al. The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis. Intensive Care Med 2017;43(8):1105-1122
Hsia RY, Wang E, Saynina O, et al. Factors associated with trauma center use for elderly patients with trauma: a statewide analysis, 1999-2008. Arch Surg 2011;146(5):585–592
Barrett-Lee J.Barbur S, Johns J, et al. Hip fractures in centenarians: a multicentre review of outcomes. Ann Royal Coll Surg Engl 202;103(1):59–63
Read-Salvesen S, Engesæter LB, Dybvik E, et al. Does time from fracture to surgery affect mortality and intraoperative medical complications for hip fracture patients? Bone Joint J 2019;101-B (9):1129–1137
Derechos de autor 2024 Hanna Maria Arévalo Vallejo, David Cantalicio Cárdenas Gasca, Ana Maria Paredes Bravo, María Alejandra Suárez, Nicolás Blanco Rivas, Natalia C Lafaurie Bayter, Jineth Valentina Saez Vargas
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
.jpg)
.png)
