[The sequelae of osteoporotic femoral fracture in Barcelona].
BACKGROUND
The aim of the present was to study the long term sequelae of osteoporotic fracture of the femur in a general hospital of 300 beds in Barcelona, analyzing 1) mortality; 2) degree of functional capacity; 3) care requirements; 4) familial repercussion, and 5) psychic repercussion.


METHODS
Structured telephone interviews were carried out between 1990-1991 with the patients attended for osteoporotic fracture of the femur in our center from 1988-1989. Of a total of 145 patients, 12 died within 1 month. Among the remaining patients the interview was performed with 100 patients--25 of whom were males of 78 +/- 8 years of age and 75 females of 82 +/- 10 years of age. The degree of functional capacity was evaluated by the index of independence in daily activities (DA).


RESULTS
Mortality within one month was 8.3%; at one year 30% and at 2 years 38%. Factors associated with the highest mortality were: age of over 80 years (p less than 0.004), deterioration of post fracture functional capacity (p less than 0.0004) and pre-fracture dementia (p less than 0.01). Important deterioration in post fracture functional capacity was seen in 45% of the cases. Seventeen percent of the patients required transfer to a center for chronic care and 34% resided in a center for chronic care prior to the fracture. Familial repercussion was observed in 43% of the cases and post fracture psychologic repercussion was seen in 28%.


CONCLUSIONS
Osteoporotic fracture of the femur presents the following sequelae: mortality, intense deterioration of functional capacity and important health care requirements in addition to considerable familial and psychological repercussion.
Knobel
H
H
Servicio de Medicina Interna, Hospital de la Esperanza, Barcelona.
Díez
A
A
Arnau
D
D
Alier
A
A
Ibáñez
J
J
Campodarve
I
I
Supervía
A
A
Nogués
X
X
D000203:Activities of Daily Living / Q000523:psychology; D000367:Age Factors; D003430:Cross-Sectional Studies; D005190:Family; D005264:Femoral Fractures / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000523:psychology; D005598:Fractures, Spontaneous / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D010024:Osteoporosis / Q000150:complications / Q000453:epidemiology* / Q000401:mortality / Q000523:psychology; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data*
Secuelas de la fractura osteoporótica de fémur en Barcelona.