RT info:eu-repo/semantics/article
T1 Functionality, comorbidity, complication & surgery of hip fracture in older adults by age distribution
A1 Jiménez Mola, Sonia
A1 Calvo Lobo, César
A1 Idoate Gil, Javier
A1 Seco Calvo, Jesús Ángel
A2 Fisioterapia
K1 Fisioterapia
K1 Medicina. Salud
K1 Age distribution
K1 Frail elderly
K1 Hip fractures
K1 Musculoskeletal diseases
AB [EN] Hip fractures may be the greatest complication secondary to osteoporotic disorder. The objective of this study was to determine the influence of age distribution in the functionality, comorbidity, complications and surgical features of older adults with hip fractures. METHODS: A prospective cohort study was carried out from 2013 to 2014. A sample of 557 adults over 75 years old with osteoporotic hip fractures was recruited from the Orthogeriatric Unit of the León University Hospital (Spain). Age distributions of 75-84, 85-90 and <90 years old were considered. Firstly, sociodemographic data, fracture type and hospital staying days were collected. Secondly, baseline functionality (Barthel index), ambulation, cognitive impairment and comorbidities were described. Thirdly, surgical intervention, urgency, type, American Association of Anesthesiologists (ASA) scores, non-surgical cause, and baseline pharmacologic treatments were determined. Finally, complications and features at hospital discharge were observed. RESULTS: The age ranges did not show any statistically-significant differences (P>.05; R2=.000-.005) for gender, fracture type, or number of hospital staying days. Statistically-significant differences (P>.05; R2=.011-.247) between age groups were observed for Barthel index, cognitive impairment, dementia, osteoporosis, Parkinson's disease, aortic stenosis, surgery type, ASA-score, non-surgical cause, benzodiazepines, antidementia, anti-osteoporosis, insulin, pharmacologic treatments, renal function alteration, heart failure, destination and ambulation features. All other measurements did not show statistically-significant differences (P<.05; R2=.000-.010). CONCLUSION: Age distributions greater than 75 years old may determine the functionality, comorbidities, surgical features, baseline pharmacologic treatments, complications and features at hospital discharge for older adults who suffer a hip fracture
PB Associação Médica Brasileira
SN 0104-4230
LK https://hdl.handle.net/10612/19629
UL https://hdl.handle.net/10612/19629
NO Jiménez-Mola, S., Calvo-Lobo, C., Idoate-Gil, J., & Seco-Calvo, J. (2018). Functionality, comorbidity, complication & surgery of hip fracture in older adults by age distribution. Revista da Associacao Medica Brasileira, 64(5), 420-427. https://doi.org/10.1590/1806-9282.64.05.420
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 21-jun-2024