• Injury · Jul 2021

    Factors associated with one year mortality in ill patients with proximal femoral fractures treated non operatively.

    • Maria Adelaide de Miranda, Andrés Paliz Pontón, Leonardo Mousinho Guerra, Fernando Brandao Andrade-Silva, Marcos de Camargo Leonhardt, Paulo Roberto Dos Reis, Dos Santos SilvaJorgeJTrauma Service, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil. Electronic address: jorge.ssilva@hc.fm.usp.br., and Kodi Edson Kojima.
    • Trauma Service, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil.
    • Injury. 2021 Jul 1; 52 Suppl 3: S60-S64.

    IntroductionNon-operative treatment is an exceptional indication for the treatment of proximal femur fracture. The aim of the study was to analyze the mortality rate in one year and associated factors in severely ill patients submitted to non-operative treatment.MethodsIt was included 28 patients treated from August 2014 to September 2019. Eighteen (64.3%) patients were female and 10 (35.7%) were male. The mean age was 78.7 ± 11.9 years old. The main outcome evaluated was the mortality rate in one year. It was also evaluated the correlation with gender, age, personal habits, number of comorbidities and Charlson Comorbidity Index (CCI).ResultsThe functional result was assessed with WOMAC score via telephone call. The mortality rate in one year was 42.8% without statistical positive correlation with any of the studied parameters. Patients with three or more comorbidities didn't have a higher mortality rate comparing to survived patients (83.3% vs 81.3%). The CCI also didn't show any correlation with high mortality (6.9 vs 7.1). The functional result of the survived patients was poor (78.2 points WOMAC).ConclusionThe conclusion is that the mortality rate in one year of ill patients with hip fractures treated non-operatively is 42.8% without correlation with age, gender of number of comorbidities, and the functional result of the survived patients is poor.Copyright © 2021. Published by Elsevier Ltd.

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