Citation

Pareja Sierra T, Bartolomé Martín I, Rodríguez Solís J, Bárcena Goitiandia L, Torralba González de Suso M, Morales Sanz MD, Hornillos Calvo M. Rev. Esp. Cir. Ortop. Traumatol. 2017; 61(6): 427-435.

Vernacular Title

Factores determinantes de estancia hospitalaria, mortalidad y evolución funcional tras cirugía por fractura de cadera en el anciano.

Affiliation

Sección de Geriatría, Hospital Universitario de Guadalajara, SESCAM, Guadalajara, España.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.recot.2017.06.002

PMID

28888685

Abstract

OBJECTIVES: Due to its high prevalence and serious consequences it is very important to be well aware of factors that might be related to medical complications, mortality, hospital stay and functional recovery in elderly patients with hip fracture. MATERIAL AND METHODS: A prospective study of a group of 130 patients aged over 75 years admitted for osteoporotic hip fracture. Their medical records, physical and cognitive status prior to the fall, fracture type and surgical treatment, medical complications and functional and social evolution after hospitalization were evaluated.

RESULTS: Patients with greater physical disability, more severe cognitive impairment and those who lived in a nursing home before the fracture had worse functional recovery after surgery. Treatment with intravenous iron to reduce transfusions reduced hospital stay and improved walking ability. Infections and heart failure were the most frequent medical complications and were related to a longer hospital stay. The prescription of nutritional supplements for the patients with real indication improved their physical recovery after the hip fracture CONCLUSIONS: Evaluation of physical, cognitive and social status prior to hip fracture should be the basis of an individual treatment plan because of its great prognostic value. Multidisciplinary teams with continuous monitoring of medical problems should prevent and treat complications as soon as possible. Intravenous iron and specific nutritional supplements can improve functional recovery six months after hip fracture.

Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

Language: es

Keywords

Anciano; Elderly; Evolución funcional; Factores pronósticos; Ferroterapia intravenosa; Fractura de cadera; Functional recovery; Hip fracture; Intravenous iron; Nutritional supplements; Prognostic factors; Suplementos nutricionales