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Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism

Objective  This study aims to evaluate the laboratory results profile of elderly patients with proximal femoral fractures and to verify the relationship between these data, fracture outcome and death. Methods  Cross-sectional study of patients admitted to the orthopedic emergency service of a referr...

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Autores principales: Baggio, Marcelo, Oliveira, Daniel Teixeira de, Locks, Renato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701966/
https://www.ncbi.nlm.nih.gov/pubmed/31435102
http://dx.doi.org/10.1055/s-0039-1693667
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author Baggio, Marcelo
Oliveira, Daniel Teixeira de
Locks, Renato
author_facet Baggio, Marcelo
Oliveira, Daniel Teixeira de
Locks, Renato
author_sort Baggio, Marcelo
collection PubMed
description Objective  This study aims to evaluate the laboratory results profile of elderly patients with proximal femoral fractures and to verify the relationship between these data, fracture outcome and death. Methods  Cross-sectional study of patients admitted to the orthopedic emergency service of a referral hospital between February and April 2017 with proximal femoral fracture by low energy mechanism and submitted to laboratorial and imaging tests. Patients with suspected or confirmed pathological fracture were excluded from the study. Results  Sixty-six individuals were evaluated, 44 of whom were women, all over 60 years old. Transtrochanteric fractures had the highest incidence in the study (36). Alterations of parathyroid hormone and albumin levels were significant for death ( p  ≤ 0.05). Length of hospital stay was not a significant factor for death. Conclusions  Laboratory abnormalities were not related to the outcome of death. Albumin may be related to the risk of death. No laboratory result was pointed out as a facilitator in the generation of proximal femoral fractures. More studies are needed to better understand the laboratory influence on fractures and their consequences.
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spelling pubmed-67019662019-08-21 Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism Baggio, Marcelo Oliveira, Daniel Teixeira de Locks, Renato Rev Bras Ortop (Sao Paulo) Objective  This study aims to evaluate the laboratory results profile of elderly patients with proximal femoral fractures and to verify the relationship between these data, fracture outcome and death. Methods  Cross-sectional study of patients admitted to the orthopedic emergency service of a referral hospital between February and April 2017 with proximal femoral fracture by low energy mechanism and submitted to laboratorial and imaging tests. Patients with suspected or confirmed pathological fracture were excluded from the study. Results  Sixty-six individuals were evaluated, 44 of whom were women, all over 60 years old. Transtrochanteric fractures had the highest incidence in the study (36). Alterations of parathyroid hormone and albumin levels were significant for death ( p  ≤ 0.05). Length of hospital stay was not a significant factor for death. Conclusions  Laboratory abnormalities were not related to the outcome of death. Albumin may be related to the risk of death. No laboratory result was pointed out as a facilitator in the generation of proximal femoral fractures. More studies are needed to better understand the laboratory influence on fractures and their consequences. Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019-07 2019-08-20 /pmc/articles/PMC6701966/ /pubmed/31435102 http://dx.doi.org/10.1055/s-0039-1693667 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Baggio, Marcelo
Oliveira, Daniel Teixeira de
Locks, Renato
Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism
title Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism
title_full Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism
title_fullStr Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism
title_full_unstemmed Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism
title_short Evaluation of the Laboratorial Profile of Elderlies with Proximal Femur Fracture by Low Energy Mechanism
title_sort evaluation of the laboratorial profile of elderlies with proximal femur fracture by low energy mechanism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701966/
https://www.ncbi.nlm.nih.gov/pubmed/31435102
http://dx.doi.org/10.1055/s-0039-1693667
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