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Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail()
OBJECTIVE: To determine the autonomy and mortality of elderly patients submitted to proximal femoral osteosynthesis with cephalomedullary nail after hip fracture. METHODS: Retrospective study with 61 patients with proximal femoral fractures submitted to cephalomedullary nail osteosynthesis. The auth...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5620015/ https://www.ncbi.nlm.nih.gov/pubmed/28971088 http://dx.doi.org/10.1016/j.rboe.2017.08.014 |
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author | Petros, Rodrigo Souto Borges Ferreira, Paula Emília Valente Petros, Rafael Souto Borges |
author_facet | Petros, Rodrigo Souto Borges Ferreira, Paula Emília Valente Petros, Rafael Souto Borges |
author_sort | Petros, Rodrigo Souto Borges |
collection | PubMed |
description | OBJECTIVE: To determine the autonomy and mortality of elderly patients submitted to proximal femoral osteosynthesis with cephalomedullary nail after hip fracture. METHODS: Retrospective study with 61 patients with proximal femoral fractures submitted to cephalomedullary nail osteosynthesis. The authors analyzed the medical records and collected information from the preoperative period. Patients were questioned regarding pain, postoperative autonomy, and degree of satisfaction. The total number of deaths was verified. The results were then correlated. RESULTS: The mean age was 84 years, predominantly female (82%). In the postoperative evaluation, 45% of the patients presented worsened levels of autonomy. The majority of patients presented mild pain (61%) on the VAS scale. The mortality rate was 24.6%, and the mean time of preoperative hospitalization was three days. The factors that presented statistical significance regarding postoperative autonomy were the time elapsed from the trauma until the moment of surgery, ASA score, fracture stability, and previous functional status of the patients. The mortality rate was associated with three main factors: advanced age, ASA score, and preoperative hospitalization time. CONCLUSION: The patient's previous autonomy positively influenced the functional outcome and postoperative recovery. Unstable fractures presented worse results for pain and ambulation in a follow-up of 27 months. Hip fracture is a risk factor associated with mortality and decreased independence in patients over 65 years of age. |
format | Online Article Text |
id | pubmed-5620015 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56200152017-10-02 Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() Petros, Rodrigo Souto Borges Ferreira, Paula Emília Valente Petros, Rafael Souto Borges Rev Bras Ortop Original Article OBJECTIVE: To determine the autonomy and mortality of elderly patients submitted to proximal femoral osteosynthesis with cephalomedullary nail after hip fracture. METHODS: Retrospective study with 61 patients with proximal femoral fractures submitted to cephalomedullary nail osteosynthesis. The authors analyzed the medical records and collected information from the preoperative period. Patients were questioned regarding pain, postoperative autonomy, and degree of satisfaction. The total number of deaths was verified. The results were then correlated. RESULTS: The mean age was 84 years, predominantly female (82%). In the postoperative evaluation, 45% of the patients presented worsened levels of autonomy. The majority of patients presented mild pain (61%) on the VAS scale. The mortality rate was 24.6%, and the mean time of preoperative hospitalization was three days. The factors that presented statistical significance regarding postoperative autonomy were the time elapsed from the trauma until the moment of surgery, ASA score, fracture stability, and previous functional status of the patients. The mortality rate was associated with three main factors: advanced age, ASA score, and preoperative hospitalization time. CONCLUSION: The patient's previous autonomy positively influenced the functional outcome and postoperative recovery. Unstable fractures presented worse results for pain and ambulation in a follow-up of 27 months. Hip fracture is a risk factor associated with mortality and decreased independence in patients over 65 years of age. Elsevier 2017-08-26 /pmc/articles/PMC5620015/ /pubmed/28971088 http://dx.doi.org/10.1016/j.rboe.2017.08.014 Text en © 2017 Published by Elsevier Editora Ltda. on behalf of Sociedade Brasileira de Ortopediae Traumatologia. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Petros, Rodrigo Souto Borges Ferreira, Paula Emília Valente Petros, Rafael Souto Borges Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() |
title | Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() |
title_full | Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() |
title_fullStr | Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() |
title_full_unstemmed | Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() |
title_short | Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() |
title_sort | influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5620015/ https://www.ncbi.nlm.nih.gov/pubmed/28971088 http://dx.doi.org/10.1016/j.rboe.2017.08.014 |
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