[What risk factors are associated with mortality and readmissions in osteoporotic hip fracture?] / ¿Qué factores de riesgo se asocian con la mortalidad y los reingresos en la fractura de cadera osteoporótica?
J Healthc Qual Res
; 37(5): 303-312, 2022.
Article
em Es
| MEDLINE
| ID: mdl-35165076
ABSTRACT
INTRODUCTION AND OBJECTIVE:
Hip fracture in the elderly leads to long hospital stays, readmissions and mortality.OBJECTIVE:
To identify risk factors associated with mortality and readmissions in elderly with hip fracture. PATIENTS ANDMETHODS:
Prospective observational study in people over 65years with hip fracture between October-2017 and November-2018, followed for 12months (128 patients). STATISTICALANALYSIS:
SPSS vs27.0.RESULTS:
6 (4.7%) patients were readmitted at 1 month; at year 24 (19.4%); 55 (44.4%) consulted for emergencies; 4 (3.1%) died during admission, and 26 (20.3%) in 12months; hospital stay 6.5 (SD 4.80) days. Those with a previous Barthel less than 85 (6 [8.5%] vs 0 [0%]; P=.037) and less EuroQol5D (6 [10.0] vs 0 [0%]; P=.011) were readmitted more at one month. Those taking anticoagulants (OR 3.33 (1.13-9.81); P=.003) and those with high surgical risk (18 [23.4%] vs 1 [5.6%]) were readmitted more after one year; P=.038). There was higher intra-episode mortality with renal failure (OR 34.2 [3.25-359.93]; P=.003) and decompensated heart failure (OR 23.8 [2.76-205.25]; P=.015). Higher mortality at one year in those older than 85years (OR 4.3 [1.48-12.49]; P=.007); in those taking benzodiazepines (OR 2.86 [1.06-7.73]; P=.038); if Barthel was less than 85 (OR 2.96 [1.1-7.99]; P=.027) and if EuroQol5D was low (0.249 vs 0.547; P=.025). Those operated after 72h (24 [57.1%] vs. 29 [38.2%]; P=.047) consulted more for the emergency department.CONCLUSIONS:
Renal failure and cardiac decompensation increased intra-episode mortality. Older age, benzodiazepines, and previous low functionality and low EuroQol5D increased mortality at one year. They were readmitted more if higher surgical risk, previously anticoagulated and worse quality of life and functionality.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
Idioma:
Es
Ano de publicação:
2022
Tipo de documento:
Article