title: Impact on Hip Fracture Mortality After the Establishment of an Orthogeriatric Care Program in a Colombian Hospital.
abstract: OBJECTIVE
  The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program.
  
  
  METHODS
  In total, 298 patients were treated according to the program's protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan-Meier analysis.
  
  
  RESULTS
  The annual survival rate increased from 80% to 89% ( p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality.
  
  
  CONCLUSIONS
  This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes.
authors.affiliation: 1 Beth Israel Deaconess Medical Center, Boston, MA, USA.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Suarez
authors.affiliation: 2 Fundación Santa Fe de Bogotá, Colombia.
authors.forename: Rodrigo Fernando
authors.initials: RF
authors.lastname: Pesantez
authors.affiliation: 2 Fundación Santa Fe de Bogotá, Colombia.
authors.forename: Mario Enrique
authors.initials: ME
authors.lastname: Diaz
authors.affiliation: 2 Fundación Santa Fe de Bogotá, Colombia.
authors.forename: Daniela
authors.initials: D
authors.lastname: Sanchez
authors.affiliation: 3 Hospital Universitario Infantil de San José, Bogotá, Colombia.
authors.forename: Lady Johana
authors.initials: LJ
authors.lastname: Tristancho
authors.affiliation: 3 Hospital Universitario Infantil de San José, Bogotá, Colombia.
authors.forename: Maria Victoria
authors.initials: MV
authors.lastname: Vanegas
authors.affiliation: 3 Hospital Universitario Infantil de San José, Bogotá, Colombia.
authors.forename: Carlos Mario
authors.initials: CM
authors.lastname: Olarte
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003105:Colombia / Q000453:epidemiology; D005260:Female; D006299:Health Services for the Aged; D006620:Hip Fractures / Q000401:mortality*; D006786:Hospitals, Urban; D006801:Humans; D007902:Length of Stay; D008297:Male; D009026:Mortality / Q000639:trends*; D009985:Orthopedics; D016016:Proportional Hazards Models
keywords: Latin America; geriatrics; hip fractures; orthogeriatric care program; orthopedic trauma