دورية أكاديمية
أعرض في EDS

Factors Associated with Readmission within 30 Days after Discharge and In-Hospital Mortality after Proximal Femoral Fracture Surgery in the Elderly: Retrospective Cohort.

التفاصيل البيبلوغرافية
العنوان: Factors Associated with Readmission within 30 Days after Discharge and In-Hospital Mortality after Proximal Femoral Fracture Surgery in the Elderly: Retrospective Cohort.
المؤلفون: Pinto AFD; Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brasil., Teatini CM; Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brasil., Avelar NCP; Departamento de Ciências da Saúde, Universidade Federal de Santa Catarina. Araranguá, SC, Brasil., Leopoldino AAO; Departamento de Ciências da Saúde, Universidade Federal de Santa Catarina. Araranguá, SC, Brasil., Moura ICG; Programa de Pós-Graduação em Ciências da Saúde, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brasil.
المصدر: Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2023 May 25; Vol. 58 (2), pp. 222-230. Date of Electronic Publication: 2023 May 25 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Thieme Country of Publication: Germany NLM ID: 0123326 Publication Model: eCollection Cited Medium: Print ISSN: 0102-3616 (Print) Linking ISSN: 01023616 NLM ISO Abbreviation: Rev Bras Ortop (Sao Paulo) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2019- : [Stuttgart] : Thieme
Original Publication: São Paulo : Sociedade Brasileira de Ortopedia e Traumatologia
مستخلص: Objective  To evaluate the factors associated with readmission within 30 days after discharge (R30) and in-hospital mortality (IHM) in elderly patients undergoing proximal femur fracture surgery (PFF). Methods  Retrospective cohort with data from 896 medical records of elderly (≥ 60 years) patients submitted to PFF surgery in a Brazilian hospital between November 2014 and December, 2019. The patients included were followed-up from the date of hospitalization for surgery up to 30 days after discharge. As independent variables, we evaluated gender, age, marital status, pre- and postoperative hemoglobin (Hb), international normalized ratio, time of hospitalization related to the surgery, door-surgery time, comorbidities, previous surgeries, use of medications, and the American Society of Anesthesiologists (ASA) score. Results The incidence of R30 was 10.2% (95% confidence interval [CI]: 8.3-12.3%), and the incidence of IHM was 5.7% (95%CI: 4.3-7.4%). Regarding R30, hypertension (odds ratio [OR]: 1.71; 95%CI: 1.03-2.96), and regular use of psychotropic drugs (OR: 1.74; 95%CI: 1.12-2.72) were associated in the adjusted model. In the case of IHM, higher chances were associated with chronic kidney disease (CKD) (OR: 5.80; 95%CI: 2.64-12.31), longer hospitalization time (OR: 1.06; 95%CI: 1.01-1.10), and R30 (OR: 3.60; 95%CI: 1.54-7.96). Higher preoperative Hb values were associated with a lower chance of mortality (OR: 0.73; 95%CI: 0.61-0.87). Conclusion Findings suggest that the occurrence of these outcomes is associated with comorbidities, medications, and Hb.
Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses.
(Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
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فهرسة مساهمة: Keywords: aged; femoral fractures; mortality; patient readmission
تواريخ الأحداث: Date Created: 20230530 Latest Revision: 20240803
رمز التحديث: 20240803
مُعرف محوري في PubMed: PMC10212622
DOI: 10.1055/s-0043-1768624
PMID: 37252296
قاعدة البيانات: MEDLINE
الوصف
تدمد:0102-3616
DOI:10.1055/s-0043-1768624