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. 2015 Dec 6;47(3):304-9.
doi: 10.1016/S2255-4971(15)30103-8. eCollection 2012 May-Jun.

EVALUATION OF THE MORTALITY RATE ONE YEAR AFTER HIP FRACTURE AND FACTORS RELATING TO DIMINISHED SURVIVAL AMONG ELDERLY PEOPLE

Guilherme Ricci  1 , Maurício Portal Longaray  2 , Ramiro Zilles Gonçalves  3 , Ary da Silva Ungaretti Neto  3 , Marislei Manente  4 , Luíza Barbosa Horta Barbosa  5
Affiliations

EVALUATION OF THE MORTALITY RATE ONE YEAR AFTER HIP FRACTURE AND FACTORS RELATING TO DIMINISHED SURVIVAL AMONG ELDERLY PEOPLE

Guilherme Ricci et al. Rev Bras Ortop. .

Abstract

Objective: To evaluate the mortality rate after one year and correlated preoperative factors, among patients with hip fractures.

Methods: We prospectively studied 202 out of a total of 376 patients with a diagnosis of hip fracture who were admitted to the Hospital Cristo Redentor, between October 2007 and March 2009. The database with the epidemiological analysis was set up during their hospitalization, and follow-up data were obtained preferentially by phone.

Results: The overall mortality rate after one year of follow-up was 28.7% or 58 deaths, among which 11 (5.45%) occurred during hospitalization. Fractures were more prevalent among women (71.3%) and rare among blacks (5%). Among the comorbidities, dementia and depression showed a statistically significant reduction in survival (p = 0.018 and 0.007, respectively).

Conclusion: The mortality rate after one year of follow-up was 28.7%. Dementia and depression increased this rate.

Keywords: Aged; Hip Injuries; Mortality.

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Figures

Figure 1
Figure 1
Survival analysis by means of Kaplan-Meier curve.
Figure 2
Figure 2
Reduction in survival among patients with dementia prior to fracture.
Figure 3
Figure 3
Reduction in survival among patients with a diagnosis of major depression prior to fracture.
See this image and copyright information in PMC

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