Albavera GRR, López GR, Antonio RCE, Gurrola MK, Montero QMG, Pérez SA, Mejía RLC

Language: Spanish
References: 10
Page: 31-36
PDF size: 291.02 Kb.

ABSTRACT

Background: Hip fracture is the most common cause of hospitalization in the emergency department of orthopedics. Most cases occur in patients aged over 60 years and are commoner in women (80-85%). Hip fractures are associated with increased mortality rates.
Objectives: To determine the incidence of hip fractures and continuity of patients at the Regional Hospital General Ignacio Zaragoza to five years of its evolution, and to know the mortality rate.
Patients and methods: A retrospective, longitudinal, observational and descriptive study of patients diagnosed with hip fracture at Orthopedics service from January to December 2007, males and females, using SIMEF with ICD-10 coding for mortality of patients within five years of evolution, and assess whether there are factors associated with mortality.
Results: 880 patients were reported to the orthopedic services, 111 of which were for hip fracture, and only 79 met the inclusion criteria. The average patient age was 81.8. In total, there were 54 females and 25 males. Women predominated in all procedures, with a rate of 2.16:1. There were associated diseases, such as hypertension in 73 patients, diabetes mellitus in 51 patients, additional pathologies (senile dementia, hyperactivity, delirium) in 14 patients, one patient had Parkinson’s disease and one patient had upper gastrointestinal bleeding. Mortality in our series in a span of five years was of 13 patients (16.4%), of which 7 patients (53.8%) died within the first year after surgery.
Conclusion: The incidence rates of hip fractures and mortality, are similar to those reported. Its incidence is higher in over 85-year-old and female patients.

REFERENCES

1. Muñoz S, Lavanderos J, Vilches L, Delgado M, et al. Fractura de cadera. Cuad Cir 2008;22:73-81.

2. Ávila-Valencia J, Aspiazu-Lee J. El viejo… y la fractura de cadera. Rev Mex Ortop Traum 2000;14:478-483.

3. Martínez-López R, Moreno-Navarro J, Goide-Linares E, Fernández-García D. Caracterización clínico-epidemiológica de pacientes con fractura de cadera. MEDISAN 2012;16:182.

4. Quevedo-Trejo EC, Zavala-González MA, Hernández- Gamas AC, Hernández-Ortega HM. Fractura de cadera en adultos mayores: prevalencia y costos en dos hospitales. Tabasco, México, 2009. Rev Peru Med Exp Salud Publica 2011;28:440-445.

5. Carvajal-Montoya A. Las caídas y fracturas de cadera en el adulto mayor. Revista Médica de Costa Rica y Centroamérica 2007;LXIV(581):199-202.

6. Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Osteoporosis I. Lancet 2002;359:1761-1767.

7. Panula J, Pihlajamäki H, Mattila VM, Jaatinen P, et al. Mortality and cause of death in hip fracture patients aged 65 or older. A population-based study. BMC Musculoskelet Disord 2011;12:105.

8. Castañeda-Leeder P, Casis-Zacarías N. Mortalidad posterior a fracturas de cadera tratadas en el Centro Médico ABC entre 1996 y 2001. An Med Asoc Med Hosp ABC 2003;48:33-37.

9. Martínez-Rondanelli A. Fracturas de cadera en ancianos. Pronóstico. Epidemiología. Aspectos generales. Experiencia. Rev Col de Or Tra 2005;19:20-28.

10. Navarrete-Faubel FE, Baixauli-Perello E, Baixauli-García F, Bauxauli-Castellá F. Fracturas de cadera con tratamiento conservador: Estudio epidemiológico. Rev Ortop Traumatol 2001;45:222-227.