Estudio epidemiológico multivariable del paciente con fractura osteoporótica de fémur proximal

Resumo

Objective: To review hip fractures in patients over 50 years of age, with a view to assessing how they affect the comorbidities associated to the prognosis. Material and method: The study comprised a total of 200 patients over 50 years of age treated for proximal femoral fractures, based on a retrospective analysis of the variables, in order to define the prognosis and residual quality of life. Results: Increased patient age was found to be associated to an increased probability of extracapsular fracture, though statistical significance was not reached. The Singh index was not correlated to the type of fracture. Vitamin D deficiency was a constant finding. A correlation was observed between comorbidity and the degree of renal failure (creatinine). There was no increase in hospital stay in patients with a larger number of disorders. Surgical delay did not prolong postoperative hospital stay. Conclusion: Osteoporotic hip fracture patients require multidisciplinary management. Many factors condition the prognosis and ultimate functional outcome.