[Factors associated with mortality and gait impairment in elderly patients with hip fractures].
BACKGROUND
Hip fractures are a major source of mortality and morbidity among the elderly. The aim of the present study is to try to identify predictors of death and of non-deambulation during the period of acute treatment.


METHODS
Consecutive prospective study of 459 patients older than 65 years admitted to our hospital with acute proximal femoral fractures with 12 months follow-up.


RESULTS
The mean length of hospital stay was 26.6 days, it exists a highly percentage of non-ambulatory patients at discharge from hospital (44.3%), a low percentage of mortality in the immediate postoperative period (6.1%) and a larger percentage of mortality at 6 months (26.15%). Factors associated with risk of death at hospital are male sex (OR = 2.38; 95% CI = 1.04-5.47), deteriorated mental status (OR = 2.62; 95% CI = 1.01-6.76) and no previous personal independence (OR = 3.16; 95% CI = 1.19-8.38). Age over 80 years (OR = 2.27; 95% CI = 1.43-3.60), deteriorated mental status (OR = 7.90; 95% CI = 3.83-16.3), no walking ability before fracture (OR = 3.72; 95% CI = 2.33-5.91) and type of fracture (OR = 1.84; 95% CI = 1.15-2.95) are shown as the determinants of gait capacity.


CONCLUSIONS
Mortality in the immediate postoperative period is associated with sex, dementia and previous personal independence. The hospital stay is extended and functional recovery at discharge is low, therefore, new programs for these patients should be considered.
Pagès
E
E
Sección de Secuelas Osteoarticulares, Hospital de Traumatología y Rehabilitación, Barcelona.
Cuxart
A
A
Iborra
J
J
Olona
M
M
Bermejo
B
B
D000368:Aged; D003704:Dementia; D006233:Persons with Disabilities; D005260:Female; D005684:Gait; D006620:Hip Fractures / Q000401:mortality / Q000628:therapy; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay; D008297:Male; D009017:Morbidity; D011446:Prospective Studies; D012307:Risk Factors; D016896:Treatment Outcome
Fracturas de cadera en el anciano determinantes de mortalidad y capacidad de marcha.