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Arch Orthop Trauma Surg ; 129(5): 685-9, 2009 May.
Artículo en Inglés | MEDLINE | ID: mdl-19238407

RESUMEN

INTRODUCTION: Descriptive retrospective review to compare transfusion among centenarians operated for a hip fracture with a control group within the "typical" age range for that surgery. METHOD: Fractured centenarians admitted between 2001 and 2006 were compared with a randomly selected control group aged 75-83 years, with the same pathology. Main variables recorded: demographic data; pre- and post-operative status; haemoglobin levels and blood use. A comparative statistical analysis was performed. RESULTS: Both groups were similar: each had 17 patients and a majority of females had a pertrochanteric hip fracture. Although there was a trend towards higher comorbidity rates and transfusion indexes among centenarians, a significant difference could only be found in post-operative and trigger haemoglobin levels, and in the incidence of post-operative complications. CONCLUSION: Despite intuitive beliefs, centenarians had results similar to those of the younger population: only a higher complication rate could be proved. Larger samples and prospective studies might be needed to confirm the trends noted.


Asunto(s)
Transfusión Sanguínea/estadística & datos numéricos , Fracturas de Cadera/cirugía , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Fracturas del Cuello Femoral/epidemiología , Fracturas del Cuello Femoral/cirugía , Fracturas de Cadera/epidemiología , Humanos , Tiempo de Internación , Masculino , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos
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