Feb 19

Causa de muerte y los factores asociados con la mortalidad temprana en el hospital después de una fractura de cadera / Cause of death and factors associated with early in-hospital mortality after hip fracture

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25628290?dopt=Abstract
http://www.bjj.boneandjoint.org.uk/content/97-B/2/246.abstract
De:
Chatterton BD1, Moores TS1, Ahmad S1, Cattell A1, Roberts PJ1.
Bone Joint J. 2015 Feb;97-B(2):246-51. doi: 10.1302/0301-620X.97B2.35248.
Todos los derechos reservados para:

Copyright © 2015 THE BRITISH EDITORIAL SOCIETY OF BONE & JOINT SURGERY All Rights Reserved.

Abstract

The aims of this study were to identify the early in-hospital mortality rate after hip fracture, identify factors associated with this mortality, and identify the cause of death in these patients. A retrospective cohort study was performed on 4426 patients admitted to our institution between the 1 January 2006 and 31 December 2013 with a hip fracture (1128 male (26%), mean age 82.0 years (60 to 105)). Admissions increased annually, but despite this 30-day mortality decreased from 12.1% to 6.5%; 77% of these were in-hospital deaths. Male gender (odds ratio (OR) 2.0, 95% confidence interval (CI) 1.3 to 3.0), increasing age (age ≥ 91; OR 4.1, 95% CI 1.4 to 12.2) and comorbidity (American Society of Anesthesiologists grades 3 to 5; OR 4.2, 95% CI 2.0 to 8.7) were independently and significantly associated with increased odds of in-hospital mortality. From 220 post-mortem reports, the most common causes of death were respiratory infections (35%), ischaemic heart disease (21%), and cardiac failure (13%). A sub-group of hip fracture patients at highest risk of early death can be identified with these risk factors, and the knowledge of the causes of death can be used to inform service improvements and the development of a more didactic care pathway, so that multidisciplinary intervention can be focused for this sub-group in order to improve their outcome. Cite this article: Bone Joint J 2015;97-B:246-51.
©2015 The British Editorial Society of Bone & Joint Surgery.
 Abstracto
Los objetivos de este estudio fueron identificar la tasa de mortalidad precoz en el hospital después de la fractura de cadera, identificar los factores asociados a esta mortalidad, y determinar la causa de muerte en estos pacientes. Un estudio de cohorte retrospectivo se realizó en 4.426 pacientes ingresados ​​en nuestra institución entre el 1 de enero 2006 y 31 de diciembre de 2013, con una fractura de cadera (1.128 varones (26%), edad media 82,0 años (60 a 105)). Admisiones incrementados anualmente, pero a pesar de ello la mortalidad a 30 días disminuyó de 12,1% a 6,5%; 77% de ellos eran muertes intrahospitalarias. El sexo masculino (odds ratio (OR) 2,0; intervalo de confianza del 95% (IC) 1,3-3,0), aumento de la edad (edad ≥ 91; IC OR 4.1, 95%: 1,4 a 12.2) y la comorbilidad (Sociedad Americana de Anestesiólogos grados 3-5 ; O 4,2, IC 95% 2,0-8,7) se asociaron de forma independiente y significativa con el aumento de las probabilidades de mortalidad hospitalaria. De 220 informes post mortem, las causas más comunes de muerte fueron las infecciones respiratorias (35%), la cardiopatía isquémica (21%) e insuficiencia cardiaca (13%). Un subgrupo de pacientes con fractura de cadera en mayor riesgo de muerte prematura puede identificarse con estos factores de riesgo, y el conocimiento de las causas de la muerte puede ser utilizada para informarle de las mejoras de servicios y el desarrollo de una vía de atención más didáctica, para que multidisciplinario la intervención se puede enfocar para este sub-grupo con el fin de mejorar sus resultados.

KEYWORDS:

Hip fracture; mortality; cause of death
PMID:

 

25628290

 

[PubMed – in process]

13 comentarios

Ir al formulario de comentarios

    • Patrick on 19 marzo, 2018 at 2:06 am

    I’m very happy to read this. This is the kind of manual that needs to be given and not the random misinformation that’s at the other blogs. Appreciate your sharing this greatest doc.

  1. Hey there. I recently discovered this amazing site and I truly like it. I love to speak about traffic fine check occasionally. Great to be around, thank you!

  2. Howdy! This is my very first comment here so I just wanted to give a fast shout out and tell you I really enjoy reading your posts. Can you suggest other sites which cover speeding ticket? I am as well quite curious about this! Thank you!

  3. You are certainly right and I understand you. If you want, we might as well speak about credit card numbers, one thing which intrigues me. Your site is fantastic, cheers!

  4. ANPC is a free nation for and by the living men and women of the earth. This Private Nation is a grassroots association based out of Indonesia having its own International Charter, Peace Treaty, Constitution, Rules of conduct and has adopted the Declaration of Human Rights. These Treaties have been Registered by International Notice to the Hague and World Court as well as other agencies worldwide. The entire goal and mission of ANPC is WORLD PEACE and freedom for all the nationals of the world, focusing on a peaceful gathering together of all tribes and nations. Our living men and women are to live as Peaceful Inhabitants on the land, striving always to create a better world today and for future generations.

  5. I appreciate you sharing this post.Much thanks again. Fantastic.

  6. Very neat post.Much thanks again. Really Great.

  7. I am so grateful for your blog post. Fantastic.

    • veja sobre on 21 abril, 2018 at 7:00 pm

    Im obliged for the blog.Really looking forward to read more. Cool.

    https://revista.ufrr.br/agroambiente/comment/view/3052/0/479

  8. I loved your blog post.Really thank you! Really Cool.

  9. Very informative post.Thanks Again. Great.

  10. A big thank you for your article.Really thank you! Really Cool.

  11. Really informative article.Really thank you! Keep writing.

Deja un comentario

Your email address will not be published.

A %d blogueros les gusta esto: