Outcome of hip fractures among elderly subjects
Medicina (B.Aires)
;
57(5): 530-4, 1997. tab, graf
Artigo
em Inglês
| LILACS
| ID: lil-209678
ABSTRACT
This paper reports a retrospective study (1979-1995) on 200 patients (154 women and 46 men), 50-101 years old, who received medical attention because of unilateral hip fracture. Nine women and four men fractured twice. In 75 percent of women and 90 percent of men, surgery was carried out between one and five days after fracture. A non significant greater proportion of women (14/154) than men (6/46) died in the first year after injury (X2=3.459, P = 0.062). Survival was assessed using Cox proportional hazards model. Survival was a function of age (P = 0.000) and sex (P = 0.008). After adjustment to a common mean age (79 years), the median survivals for men and women were 3.9 and 8.4 years, respectively. Controlled concurrent life-threatening diseases, the king of fracture [medial (subcapital and transcervical) or lateral (inter- and subtrochanteric)] and the type of prosthesis (total/partial articulation replacement) had no significant impact on survival. No differences in evolution were observed: 80 percent returned to their ambulatory status before injury, 8.5 percent required walking aids and 5.5 percent could not walk. The overall information afforded by this study suggests that with worldwide improvement of hip fracture outcome, the cost/effectiveness of surgical treatment of hip fracture may become, from the standpoint of public health investment, a favorable alternative with respect of cost/effectiveness of prevention-treatment measures.
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Índice:
LILACS (Américas)
Assunto principal:
Fraturas do Quadril
/
Prótese de Quadril
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Aged80
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Medicina (B.Aires)
Assunto da revista:
Medicina
Ano de publicação:
1997
Tipo de documento:
Artigo
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