Índice O-POSSUM como predictor de morbimortalidad en pacientes intervenidos de fractura de cadera / O-POSSUM score predicts morbidity and mortality in patients undergoing hip fracture surgery

Objetivo: Valorar la capacidad del índice O-POSSUM de predecir la morbimortalidad de los pacientes intervenidos por fractura de la cadera. Material y método: Se revisaron retrospectivamente las historias clínicas de todos los pacientes mayores de 65años intervenidos de fracturas de la cadera entre enero de 2012 y diciembre de 2013. Se incluyó a 229 pacientes, la edad media fue de 82,3años y 170 fueron mujeres. Se recogieron patologías asociadas, tipo de cirugía y valores esperados de morbimortalidad O-POSSUM. Resultados: Tras un seguimiento mínimo de un año se registraron 38 fallecimientos, y 77 pacientes tuvieron alguna complicación. La mortalidad esperada, según el O-POSSUM, fue de 36 pacientes, y la morbilidad, de 132. Conclusión: Comparando los resultados observados con los predichos por el sistema, la escala O-POSSUM aplicada a fracturas de la cadera es más fiable en la predicción de mortalidad y sobreestima la morbilidad

Purpose: The aim of this study is to evaluate the O-POSSUM score capacity to predict the morbidity and mortality of patients undergoing hip fracture surgery. Material and methods: We retrospectively reviewed the clinical records of patients older than 65years old, operated on for hip fractures between January 2012 and December 2013. Of 229 patients, the mean age was 82.3years and 170 were women. We collected comorbidities, type of surgery, and expected morbidity and mortality O-POSSUM values. Results: After a minimum follow up of one year, 38 deaths were reported and 77 patients had complications. The expected mortality according to the O-POSSUM was 35 patients and expected morbidity 132. Conclusion: By comparing the observed results with those predicted, the O-POSSUM scale is reliable in predicting mortality and overestimates morbidity

O-POSSUM score predicts morbidity and mortality in patients undergoing hip fracture surgery. / Índice O-POSSUM como predictor de morbimortalidad en pacientes intervenidos de fractura de cadera.

PURPOSE: The aim of this study is to evaluate the O-POSSUM score capacity to predict the morbidity and mortality of patients undergoing hip fracture surgery. MATERIAL AND METHODS: We retrospectively reviewed the clinical records of patients older than 65years old, operated on for hip fractures between January 2012 and December 2013. Of 229 patients, the mean age was 82.3years and 170 were women. We collected comorbidities, type of surgery, and expected morbidity and mortality O-POSSUM values. RESULTS: After a minimum follow up of one year, 38 deaths were reported and 77 patients had complications. The expected mortality according to the O-POSSUM was 35 patients and expected morbidity 132. CONCLUSION: By comparing the observed results with those predicted, the O-POSSUM scale is reliable in predicting mortality and overestimates morbidity.