Relationship of functionality before hip fracture with mortality in older adults

Autores: Quiñones Salgado Aileve A, Shiguetomi Medina Juan Manuel, González Rubio Marco V, Ortega Berlanga Oscar O, González González Gonzalo R

Resumen

Background: Functionality before hip fracture (HF) is considered a predictor of mortality. At the end of the post-fracture 1st year, 60% do not regain ambulation, and immobility is a predictor of complications and mortality. Objective: The objective of the study was to analyze the relationship of pre-HF functionality with immediate, early, and late post-operative mortality. Material and methods: Retrospective cohort study in old adults in a concentration hospital. Immediate (before 1-month post-fracture), early (2-12 months post-fracture), and late (after 1 year post-fracture) mortality were defined; functionality was assessed by Barthel scale: dependent or independent. Cox regression was used to determine survival trend. Results: Seventy-five patients were included (66% women), 37 patients were between 80 and 89 years of age, and 12 subjects were categorized as dependent. In the immediate mortality group (n = 18), the risk of death was similar between dependents and independents; in early mortality (n = 19) dependents had a risk of dying (Relative Risk [RR] 0.18), and in late mortality (n = 39) the risk persisted higher in dependent patients (RR 0.14) than in independents. Conclusion: Dependence is a risk factor for early and late mortality, but not relevant for immediate mortality.

Palabras clave: Functionality pre-fracture mortality hip fracture

2021-07-21   |   74 visitas   |   Evalua este artículo 0 valoraciones

Vol. 7 Núm.1. Enero-Junio 2021 Pags. 8-12 J Lat Am Geriatric Med 2021; 7(1)