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J Aging Health ; 29(3): 474-488, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26988378

RESUMO

OBJECTIVE: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. METHOD: In total, 298 patients were treated according to the program's protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan-Meier analysis. RESULTS: The annual survival rate increased from 80% to 89% ( p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality. DISCUSSION: This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes.


Assuntos
Serviços de Saúde para Idosos , Fraturas do Quadril/mortalidade , Hospitais Urbanos , Mortalidade/tendências , Ortopedia , Idoso , Idoso de 80 Anos ou mais , Colômbia/epidemiologia , Feminino , Humanos , Tempo de Internação , Masculino , Modelos de Riscos Proporcionais
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