Sep 13

Características epidemiológicas y clínicas de las fracturas de cadera en adultos mayores en un hospital público chileno Hip fracture / Experience in 647 Chilean patients aged 60 years or more

Este artículo es originalmente publicado en:
Rev Med Chil. 2015 Dec;143(12):1552-9. doi: 10.4067/S0034-98872015001200008
[PubMed – in process]

Free full text

Todos los derechos reservados para:

Background: Hip fractures (HFx) are an important geriatric syndrome, with a high incidence in developing countries. Aim: To describe characteristics of a group of Chilean patients with HFx. Patients and Methods: In a cross-sectional study we included patients aged 60 years or more with a HF admitted to an orthopedic service along three years. Age, incidence, location, seasonality, hospital stay, time between HFx and surgery, mortality, prior treatment for osteoporosis, anatomical location, etiology and type of surgery were evaluated. Results: We reviewed 647 patients with a median age of 81 years (76% women). The calculated incidence of hip fracture for people aged ≥ 65 years was 177/100,000. Sixty six percent of fractures were extracapsular. Mean hospital stay was 17 days and the mean lapse between the fracture and surgery was 19 days. Eighty four percent of patients had osteoporosis and only 5% were receiving treatment. Eighty three percent of patients were operated. Osteosynthesis was mainly used for extracapsular fractures and arthroplasty for intracapsular lesions. Intracapsular HFx tended to occur more commonly during warm seasons (Odds ratio = 1.534). Mortality at one year was 24%. It was higher among non-operated patients in whom the proportion of males and number of comorbidities were significantly higher. Conclusions: A high proportion of patients with HFx have osteoporosis albeit a reduced number is receiving treatment. Non-operated patients had a higher risk profile and higher mortality.

Key words: Geriatrics; Hip Fractures; Orthopedics.


Las fracturas de cadera (FC) son una gravísima consecuencia de la fragilidad ósea. Su importancia radica en su alta incidencia, alto impacto funcional, socialy económico, y alta morbimortalidad. Sus costes y mortalidad equivalen a la suma de costes y mortalidad por enfermedades cardiovasculares y neoplasias1-3.

Las publicaciones chilenas describen aspectos como su prevalencia en institucionalizados4, evolución de la incidencia5 y diferencias étnicas6. Contreras et al (1991)7, describieron aspectos epidemiológicos de la FC en el marco de una descripción general de las fracturas en Chile. Valdivia et al (1996)8, realizaron un estudio de casos y controles para identificar factores de riesgo para FC en población chilena. Una muestra revisada por Riedemann y Neira (2001-2006), fue incluida en el estudio con que Kanis et al (2012)9, revisaron la incidencia de FC en el mundo. Finalmente, Jiménez et al (2013)10, reportaron características epidemiológicas de 938 pacientes con FC.

En el mundo, las características de las FC varían según el nivel de envejecimiento poblacional y desarrollo económico9. En países desarrollados se ha trabajado sobre aspectos organizacionales, como optimización de la oportunidad de acceso al manejo quirúrgico11,12 y colaboración entre especialidades13,14. Además, se discute temas como las diferencias entre fracturas intra (FIC) y extracapsulares (FEC)15,16 y relaciones entre mortalidad y distintas variables17-19.

Como la literatura destaca diferencias regionales incluso en un mismo país9, consideramos interesante comprobar si se mantienen las tendencias descritas en otros trabajos chilenos. También nos pareció relevante contrastar nuestros resultados con los de series internacionales, definiendo líneas de trabajo que optimicen el manejo actual y aportando información en los temas actualmente en discusión.

Así, nuestros primeros objetivos son descriptivos: Caracterizar los sujetos con FC de nuestra serie, y contrastar los resultados con estudios nacionales e internacionales.

Finalmente, nos propusimos buscar significación en temas actualmente en discusión: FEC vs FIC, y relaciones entre mortalidad, oportunidad quirúrgica, tiempos de estancia hospitalaria y decisión de no operar.

27 comentarios

Ir al formulario de comentarios

    • Stepanie on 9 diciembre, 2017 at 3:00 pm

    Your place is valueble for me. Thanks!…

  1. I am actually loving the theme/design of your information site. Do you encounter any web browser interface troubles? A lot of my own site visitors have lamented regarding my best meso information website not working effectively in Internet Explorer but appears very good in Firefox. Have you got any suggestions to assist correct the matter?

  2. You are totally right and I totally agree with you. Whenever you want, we can as well chat regarding where to watch movies online, one thing which fascinates me. Your website is really remarkable, regards!

  3. This can be the correct blog for any individual who desires to find out about this subject. You understand so significantly its almost difficult to argue with you (not that I actually would want…HaHa). You certainly put a new spin on a subject thats been written about for years. Wonderful stuff, just good!

    • Medicare on 15 diciembre, 2017 at 3:38 pm

    Hey could you tell me which platform you are working with? I am looking to start off my personal website on emergency dentist in the near future but I’m having a difficult time making a decision.

  4. Good day! This is my first comment here so I simply wanted to give a fast hello and say I truly enjoy reading your blog posts. Can you recommend any other sites that deal with free movie? I am as well quite hooked on that thing! Thanks!

  5. This web internet site is seriously a walk-through for all the information you wanted about this and didn’t know who to ask. Glimpse here, and you’ll surely discover it.

  6. Admiring the time and energy you invested in your blog and thorough facts you present. It really is good to discover a blogging site once in a while that is just not the same out of date rehashed stuff. Awesome read! We have bookmarked your blog and I’m adding the RSS feeds to our online movie sites page.

  7. Hey there could you tell me which platform you are dealing with? I am looking to do my personal blog on online movie sites in the future yet I am having difficulties making a choice.

  8. Wonderful blog

    • Tracie on 6 enero, 2018 at 2:32 pm

    An impressive share, I just given this onto a colleague who was doing a bit of analysis on this. And he the truth is bought me breakfast as a result of I discovered it for him.. smile. So let me reword that: Thnx for the treat! But yeah Thnkx for spending the time to discuss this, I really feel strongly about it and love studying more on this topic. If attainable, as you turn out to be expertise, would you mind updating your blog with extra particulars? It is highly useful for me. Huge thumb up for this blog post!

  9. This web site rocks

    • page on 16 enero, 2018 at 4:10 pm

    Amazing ! keep it down

  10. Muy buena redacción 🙂

  11. Gracias por el articulo!

  12. It was actually amazing reading this article and I believe you’re completely right. Tell me in the event that you’re looking into new movies online, that is my major expertise. I really hope to check back with you soon, take good care!

  13. el articulo es excelente…gracias!

  14. It was actually wonderful reading this article and I feel you’re entirely correct. Tell me if perhaps you’re interested in wealth generators review, that’s my principal competency. I am hoping to hear from you soon, take good care!

  15. buen articulo, muchas gracias

  16. I am constantly invstigating online for ideas that can benefit me. Thx!

  17. Thanks for discussing this info, I saved this site. I’m furthermore attempting to find tips regarding followers instagram, have you any idea the place where I might come across one thing such as that? I’ll come back in a little while!

  18. Hello there I am so happy I found your blog page, I really found you by mistake, while I was browsing on Digg for commercial property investment. Regardless I’m here right now and would really love to say cheers for a great article and the all around enjoyable blog (I likewise love the theme), I do not have the time to look over it all at the moment yet I have book-marked it and also added in the RSS feed, so when I have plenty of time I’ll be back to look over more. Make sure you do maintain the awesome work.

  19. My brother suggested I might like this web site. He was entirely right. This post actually made my day. You can not imagine simply how much time I had spent for this info! Thanks!

  20. There are terrific upgrades on the layout of your website, I certainly love this. My site is regarding automated forex trading system and currently there are quite a lot of things to do, I am yet still a newcomer in web page design. Be careful!

  21. Mis felicitaciones al redactor del artículo

  22. You are absolutely right, I’d really like to discover more info on that subject! I’m also interested by entry level environmental jobs since I feel it is quite unique nowadays. Thanks.

  23. I use this one

Deja un comentario

Your email address will not be published.

A %d blogueros les gusta esto: