Mortalidad de una cohorte de hombres con fractura de cadera por fragilidad en un sector sanitariofactores asociados

  1. R. Gómez Navarro 3
  2. D. Sanz-Rosa 4
  3. S. Valdearcos Enguídanos 2
  4. I.J. Thuissard 4
  5. C. Martín Hernández 1
  1. 1 Instituto de Investigación Sanitaria de Aragón, Hospital Universitario Miguel Servet, Zaragoza, España
  2. 2 Unidad Docente de Medicina de Familia Sector Teruel, Teruel, España
  3. 3 Centro de Salud Teruel Centro, Teruel, España
  4. 4 Facultad de Ciencias Biomédicas y Salud, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2019

Issue: 7

Pages: 458-466

Type: Article

DOI: 10.1016/J.SEMERG.2019.04.008 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Abstract

Background A quarter of the patients with fragility hip fracture (FHF) are men, and they have higher mortality rates than women. The objective of this study is to analyse the mortality, as well as associated factors, due to FHF in men aged ≥ 65 years, while in hospital and at one and three years of follow-up. Material and methods An analytical observational study was conducted on a historical cohort of 182 male patients equal or older than 65 years that were admitted to an Orthopaedic Surgery and Traumatology (OST) Department between January 2009 and December 2014. Results Within-hospital mortality was 10.9% (6% in the OST Department, and 8.6% in a Social-Health centre). A relationship (P = .039) was found between within-hospital mortality and age. A total of 20 patients died during their stay in both units, 42 (25.9%) died one year later, and 95 (58.6%) died three years later. Dementia/cognitive impairment was associated with a relative risk of one-year mortality of 2.2, and 1.6 of three-year mortality. An association was observed between age and mortality and between Barthel Index at baseline and mortality at both periods. The most frequent causes of death were cardiovascular (15.7%) and tumours (13.6%). Conclusions Male patients with FHF showed high mortality rates in hospital, and at one-year and three-years follow-up. The most important risk factor of mortality was dementia/cognitive deterioration at one year, and high blood pressure at three years.

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Data source: Dialnet