Resumen

Objective: The objective of the study was to determine the factors that influence the surgical delay of hip fracture in older adults. Materials and methods: An observational, descriptive, and prospective study, which includes patients over 60 years with a diagnosis of hip fracture, admitted to the orthopedics service, from March 2018 to June 2019. The causes of surgical delay and the number of patients surgically operated before 48 h after admission until surgery were stratified as well as the number of days of hospital stay, complications, and costs related to surgical delay. Results: Seventy-eight patients were admitted to the study. The average hospital stay was 156 ± 66.5 h. The main complication was delirium and the average cost of hospitalization was $ 44,770.93 ± 16,080.40 Mexican pesos. Sixty-six patients suffered surgical delay and 12 (15.38%) underwent surgery in < 48 h. The causes of the delay were the non-availability of an operating room (66.66%), decompensation of comorbidities (24.24%), and use of antiplatelet agents or anticoagulants (9.09%). Conclusions: The causes of delay found are likely to be modified and resolved by the orthopediatric team, with the main objective of surgical care within the first 48 h of hospitalization.

Palabras clave: Hip fracture surgical delay elderly

2020-04-17   |   311 visitas   |   Evalua este artículo 0 valoraciones

Vol. 5 Núm.2. Julio-Diciembre 2019 Pags. 33-38 J Lat Am Geriatric Med 2019; 5(2)