RESUMO
767 patients over the age of 70 with a fracture of one hip were studied prospectively. The results were compared with the literature. The overall mortality rate within 3 months was 24%. This mortality was significantly influenced by the general health condition of the patient at the time of the injury, his living quarters and the ability to walk again after operation (p less than 0.001). For 38% of the survivors, able-bodied before the injury, the fracture meant an important loss of functional independence. The degree of impairment was closely related to the patient's age and fracture type (p less than 0.05). Of patients living in their own homes before injury only 60% were able to go back home. In predicting the probability of going back home, the functional status before injury and the ability to walk again at the time of discharge from the surgical department were highly important (p less than 0.001).
Assuntos
Atividades Cotidianas , Fraturas do Quadril/reabilitação , Idoso , Idoso de 80 Anos ou mais , Fraturas do Quadril/mortalidade , Fraturas do Quadril/cirurgia , Prótese de Quadril/reabilitação , Humanos , Tempo de Internação , Locomoção , Países Baixos/epidemiologia , Alta do Paciente , Modalidades de Fisioterapia/métodosRESUMO
Six-hundred and fourteen aged over 70 and presenting hip fractures have been studied prospectively. The results were compared with the literature. The overall mortality rate within three months was 24%. This mortality was significantly influenced by the general health condition of the patient at the time of the injury, his living conditions and the possibility of walking again after the operation (p less than 0.001). For 38% of the survivors, the fracture means a considerable loss of functional independence. The adjacent impairment was in close relationship with patient's age and fracture-type (p less than 0.05). Sixty per cent of the patients were able to return home. In predicting the probability of returning home, the functional status before injury and the possibility of walking at the moment of discharge were particularly important (p less than 0.001).
