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. 2022 Apr 29;11(9):2514.
doi: 10.3390/jcm11092514.

Determinants of Higher Mortality at Six Months in Patients with Hip Fracture: A Retrospective Study

Enrique González-Marcos  1 , Enrique González-García  2 , Paula Rodríguez-Fernández  3 , Esteban Sánchez-González  4 , Jerónimo J González-Bernal  3 , Josefa González-Santos  3
Affiliations

Determinants of Higher Mortality at Six Months in Patients with Hip Fracture: A Retrospective Study

Enrique González-Marcos et al. J Clin Med. .

Abstract

(1) Background: Hip fracture is a pathology with high mortality, but the lack of a universal adaptation of the factors associated with death makes it difficult to predict risk and implement prevention in this group. This study aimed to identify the factors that determine a higher mortality at six months following hip fracture. (2) Methods: A retrospective longitudinal study, whose study population consisted of patients over 65 years of age. The main variable was mortality at 6 months of fracture. Relevant data related to sociodemographic and clinical variables for subsequent bivariate (χ2) and multivariate analysis were obtained. (3) Results: In all, 665 people participated in the study, 128 of whom died within 6 months of the fracture. The multivariate adjusted analysis demonstrated significant relationships between the main variable and aspects such as institutionalization at discharge (Odds Ratio (OR) = 2.501), a worse overall functional capacity (OR = 2.453) and cognitive capacity (OR = 3.040) at admission, and complications such as heart failure (OR = 5.767) or respiratory infection (OR = 5.308), in addition to the taking of certain drugs and the presence of a greater number of comorbidities. (4) Conclusions: There are certain factors related to higher mortality at six months in patients with hip fracture who are aged 65 years or older.

Keywords: associated factors; elderly; hip fracture; mortality.

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Conflict of interest statement

The authors declare no conflict of interest.

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