Author/Authors :
Guilherme Lollo Correa, José Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil , Brandão Andrade-Silva, Fernando Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology, Trauma Group, São Paulo, SP, Brazil , Fortes Filho, Sileno Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology - Geriatrics Group, São Paulo, SP, Brazil , Edson Kojima, Kodi Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology, Trauma Group, São Paulo, SP, Brazil , dos Santos Silva, Jorge Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology, Trauma Group, São Paulo, SP, Brazil , Eugênio Garcez Leme, Luiz Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology - Geriatrics Group, São Paulo, SP, Brazil
Abstract :
Objective: To investigate the existence of a causal association
between orthopedic treatment and the occurrence of in hospital
death. Methods: 338 patients with proximal femoral fracture were
evaluated, of whom 27 faced in hospital death. Patients who
faced in hospital death (case group) were compared to patients
who did not (control group) regarding exposure to risk factors
prior to injury and factors related to orthopedic treatment. Results:
The factors related to higher in hospital mortality rate were: male
sex (case group: 52%, control: 26%; p = 0.005), lower Parker’s
score (case group: 5.0 points, control: 6.2; p = 0.048), deliri-
um on admission (case group: 26%, control: 10%; p = 0.011);
delirium developed during hospitalization (case group: 77%,
control: 35%; p <0.001), and time until surgery (13.3 days, 9.1;
p = 0.049). Conclusion: The in hospital mortality rate of pa-
tients with proximal femoral fracture was 8%, and the main
associated risk factors were male sex, reduced Parker’s score,
delirium diagnosed on hospital admission or developed during
hospitalization, and time until surgery. Level of Evidence III,
Case control study.
Keywords :
Fractures , Bone , Femur , Mortality , Delirium
