Ítem
Acceso Abierto

Impact on hip fracture mortality after the establishment of an orthogeriatric care program in a colombian hospital

Título de la revista
Autores
Diaz, Mario Enrique
Suarez, Sebastian
Pesantez, Rodrigo
Olarte, Carlos Mario
Sanchez, Daniela
Tristancho, Lady
Venegas, Maria Victoria

Archivos
Fecha
2016-03-31

Directores
Olarte, Carlos Mario

ISSN de la revista
Título del volumen
Editor
Universidad del Rosario

Buscar en:

Métricas alternativas

Resumen
El objetivo del estudio es evaluar la mortalidad a un año en pacientes con fractura de cadera, mayores de 65 años tratados en un programa establecido de orto-geriatría. 298 se trataron de acuerdo al protocolo de orto-geriatría, se calculo la mortalidad a un año, se establecieron los predictores de mortalidad orto-geriátrico. La sobrevida anual se incremento de 80% a 89% (p = .039) durante los cuatro años de seguimiento del programa y disminuyo el riesgo de mortalidad anual postoperatorio (Hazard Ratio = 0.54, p = .049). La enfermedad cardiaca y la edad maor a 85 años fueron predictores positivos para mortalidad.
Abstract
Objective: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. Method: In total, 298 patients were treated according to the program’s protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan–Meier analysis. Results: The annual survival rate increased from 80% to 89% (p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality. Discussion: This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes.
Palabras clave
fractura de cadera , trauma ortopédico , geriatría , programa orto-geriátrico , Surameica
Keywords
ip fractures , orthopedic trauma , geriatrics , orthogeriatric care program , Latin America
Buscar en:
Enlace a la fuente