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SP6-64 Mortality in the elderly, due to proximal femur fracture: 1-year follow-up study
  1. S Campos1,
  2. M F Pina1,2,
  3. A Trigo-Cabral1,4
  1. 1INEB-Instituto de Engenharia Biomédica, Porto, Portugal
  2. 2ISPUP-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal
  3. 3Serviço de Higiene e Epidemiologia-Faculdade de Medicina da Universidade do Porto, Porto, Portugal
  4. 4Serviço de Ortopedia e Traumatologia do Hospital de São João, Porto, Portugal

Abstract

Objectives Identify risk factors for mortality after hip fracture.

Material and Methods Patients admitted in the orthopaedics service of the main hospital in Porto city, from 1 May 2008 to 30 April 2009, with a low-energy hip fracture were selected. During admission a questionnaire was applied and phone interviews to the patients or a close relative were done at 3, 6, 9 and 12 months after the fracture. From hospital registers, fracture type, surgery date, surgical treatment, co-morbilities and ASA score were obtained.

Results At admission, patients (n=252, 79% women, mean age of 80.3±9.5 years and 76.3±11.3 years (p<0.05), women and men respectively) lived mainly with someone (67%); 1% were confined to bed, 65% had difficulties in walking or doing daily activities and 34% had a life without restrictions. The most common co-morbidities were hypertension for women (52% vs 38%) and respiratory disease for men (36% vs 11%), p<0.05. Death was 22%, 25%, 30% and 37% for men and 8%, 14%, 20% and 23% for women, respectively at 3, 6, 9 and 12 months of follow-up. Death was higher among institutionalised patients. Survival analysis using Kaplan–Meier curve and Cox regression analysis showed that the risk of dead increased 6% for each age-year older, 151% if patient was a man, 94% for ASA score III/IV and 7% for each day of delay to the surgery.

Conclusion Older age, male sex, ASA scores III/IV and delay to surgery are good predictors of mortality after a hip fracture.

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