Perfil epidemiológico de los pacientes adultos mayores de 65 años con fractura de cadera. Estudio de Cohorte Transversal

Abstract

Background

Hip fractures are a pathology with an increasing incidence, represent a challenge for public health due to the high socioeconomic cost and high morbidity and mortality. It is important to document the complications in our population, as well as the reasons for readmission to be able to propose strategies that contribute to reducing them.

Method

A descriptive, cross-sectional, retrospective study was conducted in the period between January 2015 and December 2017. All patients with hip fractures older than 65 years were included. Those with pathological fractures and patients with a history of fracture in that hip were excluded. The variables of age, sex, pathological antecedents, use of anticoagulants, type of fracture, intra-surgical and postoperative complications and total time from fracture to surgical management were collected.

Results

155 hip fractures were properly documented, mean age 81.6 years, 74.8% were women. The most frequent fracture was the intertrochanteric (46.5%). 93.6% of the cases received surgical management, being hip arthroplasty the most performed procedure. Surgical management was performed in 85.16% of patients before 48 h and 40% before 24 h from the time of fracture. The readmission rate was 20% and the main cause was new fractures 5.8%

Discussion

We consider the approach of patients from a multidisciplinary standpoint that treat the comorbidities, bone fragility, muscle weakness and alterations in the mental sphere, because that may possibly affect the outcome of patients in a positive way.

Evidence level: III