Complications presented in patients over 65 years admitted for hip fracture in an Andalusian tertiary hospital
Abstract
Purpose: To know the complications that occurred in patients over 65 years admitted to an Andalusian tertiary hospital during 2012 with a primary diagnosis of hip fracture.Methodology:
Design: Cross-sectional study.
Scope, period and cohort: Patients admitted in 2012 over 65 years with a primary diagnosis of hip fracture.
Main outcomes: Morbidity and mortality collected in the Andalusian Minimum Data Set , analyzed in terms of other variables that influence their occurrence according to the literature (age, sex, comorbidity, etc).
Instruments: Statistical analysis has been done with Epidat and G-Stat, statistical free software, to get and compare means and proportions of the variables.
Results: The mean age was 83.16(6.68) years old. The mortality rate was 4.99%. The average length of stay was 10.2 days. Extracapsular fractures were more frequent than intracapsular ones, 64.24% and 35.76% respectively. The average preoperative stay was 3.5 days. The most frequent treatment was osteosynthesis, with 62.6%. The most common complication, excluding exitus, was “surgical urinary tract complications”. Total complicated patients was 8.7%, including the deceased. Male gender, older age and surgical delay was associated with development of complications. The highest percentages of complications occurred in patients with three comorbidities.
Conclusion: The presence of complications during the period of hospitalization of elderly patients admitted for hip fracture is associated with male gender, older age, surgical delay and more comorbidities.
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