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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 7/2010

01-07-2010 | Clinical Research

The Impact of Prefracture and Hip Fracture Characteristics on Mortality in Older Persons in Brazil

Authors: Silvia R. M. Pereira, MD, PhD, Martine T. E. Puts, PhD, Margareth C. Portela, PhD, Mario A. Sayeg, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 7/2010

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Abstract

Background

Hip fractures in the elderly are common and associated with considerable mortality and disability. Although well known in industrialized countries, the factors associated with mortality after hip fractures are not reported frequently in developing countries and little is known regarding risk factors in Latin America.

Questions/Purpose

We investigated the rate of 1-year mortality and prefracture and fracture characteristics associated with mortality after a hip fracture in elderly Brazilian patients in a large metropolitan area.

Methods

Two hundred forty-six persons 60 years and older admitted to four hospitals in Rio de Janeiro were included after experiencing fractures and were followed for 1 year. Data were collected on sociodemographic, health, and functional status; type of surgery; length of stay; and complications after surgery. Cox regression analyses were conducted to investigate factors associated with 1-year mortality after hip fracture.

Results

Of the 246 patients, 86 died (35%). Of those 86, 22 died in the hospital (25.6%) and 64 (74.4%) died after discharge. Functional status before fracture, older age, male gender, and higher surgical risk increased the risk of mortality, whereas the use of antibiotics and the use of physical therapy after surgery decreased the risk.

Conclusions

Our mortality rate was higher than those reported from industrialized countries. The use of antibiotics and physical therapy are potentially modifiable factors to improve patients’ survival after fracture in Brazil.

Level of Evidence

Level II, prognostic study. See the Guidelines for Authors for a complete description of the levels of evidence.
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Metadata
Title
The Impact of Prefracture and Hip Fracture Characteristics on Mortality in Older Persons in Brazil
Authors
Silvia R. M. Pereira, MD, PhD
Martine T. E. Puts, PhD
Margareth C. Portela, PhD
Mario A. Sayeg, MD, PhD
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 7/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-009-1147-5

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