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One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes
SUMMARY: To determine urban–rural differences influencing mortality in patients with hip fracture in Colombian Andes Mountains over a 1-year period. PURPOSE: To identify the urban–rural differences of sociodemographic variables, fracture-related characteristics, and preoperative and postoperative cl...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer London
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9363373/ https://www.ncbi.nlm.nih.gov/pubmed/35945469 http://dx.doi.org/10.1007/s11657-022-01150-5 |
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author | Duque-Sánchez, Juan-Daniel Toro, Luis-Ángel González-Gómez, Fernando-Iván Botero-Baena, Sandra-Milena Duque, Gustavo Gómez, Fernando |
author_facet | Duque-Sánchez, Juan-Daniel Toro, Luis-Ángel González-Gómez, Fernando-Iván Botero-Baena, Sandra-Milena Duque, Gustavo Gómez, Fernando |
author_sort | Duque-Sánchez, Juan-Daniel |
collection | PubMed |
description | SUMMARY: To determine urban–rural differences influencing mortality in patients with hip fracture in Colombian Andes Mountains over a 1-year period. PURPOSE: To identify the urban–rural differences of sociodemographic variables, fracture-related characteristics, and preoperative and postoperative clinical factors associated with 1-year mortality in patients over 60 years old who underwent hip fracture surgery in the Andes Mountains. METHODS: A total of 126 patients with a fragility hip fracture during 2019–2020 were admitted to a tertiary care hospital. They were evaluated preoperatively and followed up until discharge. Those who survived were contacted by telephone at 1, 3, and 12 months. Univariate, bivariate, and Kaplan–Meier analyses with survival curves were performed. Relative risk was calculated with a 95% confidence interval. RESULTS: A total of 32.5% of the patients died within 1 year after surgery, with a significant difference between those who resided in rural areas (43.1%) and those who resided in urban areas (23.5%) (RR 1.70; 95% CI, 1.03 to 2.80, p = 0.036). In the multivariate analysis, anemia (hemoglobin level ≤ 9.0 g/dL during hospitalization) (RR 6.61; 95% CI, 1.49–29.37, p = 0.003), a blood transfusion requirement (RR 1.47; 95% CI, 1.07 to 2.01, p = 0.015), the type of fracture (subtrochanteric fracture (RR = 4.9, 95% CI = 1.418–16.943, p = 0.005)), and postoperative acute decompensation of chronic disease (RR 1.60; 95% CI, 1.01 to 2.53, p = 0.043) were found to be independent predictive factors of 1-year mortality after surgery. CONCLUSIONS: There was a difference in 1-year mortality between patients from rural and urban areas. More studies must be conducted to determine whether rurality behaves as an independent risk factor or is related to other variables, such as the burden of comorbidities and in-hospital complications. |
format | Online Article Text |
id | pubmed-9363373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer London |
record_format | MEDLINE/PubMed |
spelling | pubmed-93633732022-08-11 One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes Duque-Sánchez, Juan-Daniel Toro, Luis-Ángel González-Gómez, Fernando-Iván Botero-Baena, Sandra-Milena Duque, Gustavo Gómez, Fernando Arch Osteoporos Original Article SUMMARY: To determine urban–rural differences influencing mortality in patients with hip fracture in Colombian Andes Mountains over a 1-year period. PURPOSE: To identify the urban–rural differences of sociodemographic variables, fracture-related characteristics, and preoperative and postoperative clinical factors associated with 1-year mortality in patients over 60 years old who underwent hip fracture surgery in the Andes Mountains. METHODS: A total of 126 patients with a fragility hip fracture during 2019–2020 were admitted to a tertiary care hospital. They were evaluated preoperatively and followed up until discharge. Those who survived were contacted by telephone at 1, 3, and 12 months. Univariate, bivariate, and Kaplan–Meier analyses with survival curves were performed. Relative risk was calculated with a 95% confidence interval. RESULTS: A total of 32.5% of the patients died within 1 year after surgery, with a significant difference between those who resided in rural areas (43.1%) and those who resided in urban areas (23.5%) (RR 1.70; 95% CI, 1.03 to 2.80, p = 0.036). In the multivariate analysis, anemia (hemoglobin level ≤ 9.0 g/dL during hospitalization) (RR 6.61; 95% CI, 1.49–29.37, p = 0.003), a blood transfusion requirement (RR 1.47; 95% CI, 1.07 to 2.01, p = 0.015), the type of fracture (subtrochanteric fracture (RR = 4.9, 95% CI = 1.418–16.943, p = 0.005)), and postoperative acute decompensation of chronic disease (RR 1.60; 95% CI, 1.01 to 2.53, p = 0.043) were found to be independent predictive factors of 1-year mortality after surgery. CONCLUSIONS: There was a difference in 1-year mortality between patients from rural and urban areas. More studies must be conducted to determine whether rurality behaves as an independent risk factor or is related to other variables, such as the burden of comorbidities and in-hospital complications. Springer London 2022-08-09 2022 /pmc/articles/PMC9363373/ /pubmed/35945469 http://dx.doi.org/10.1007/s11657-022-01150-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Duque-Sánchez, Juan-Daniel Toro, Luis-Ángel González-Gómez, Fernando-Iván Botero-Baena, Sandra-Milena Duque, Gustavo Gómez, Fernando One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes |
title | One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes |
title_full | One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes |
title_fullStr | One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes |
title_full_unstemmed | One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes |
title_short | One-year mortality after hip fracture surgery: urban–rural differences in the Colombian Andes |
title_sort | one-year mortality after hip fracture surgery: urban–rural differences in the colombian andes |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9363373/ https://www.ncbi.nlm.nih.gov/pubmed/35945469 http://dx.doi.org/10.1007/s11657-022-01150-5 |
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