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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 2

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Rev Esp Med Quir 2014; 19 (2)

Comorbidities in patients operated by transtrochanteric fracture

Sánchez HE, Mejía RLC, Benítez RA

Language: Spanish
References: 19
Page: 145-151
PDF size: 484.31 Kb.


ABSTRACT

Background: Population aging affects mobility and mortality. Hip fractures result in weakness, permanent inability or death. Surgical treatment may complicate with fragility status-related conditions or diseases, turning fractures into a common and devastating pathology in the elderly.
Material and method: An observational, longitudinal, retrospective and descriptive study of patients submitted to surgery due to transtrochanteric fracture from January to December 2012. Data were obtained from clinical records, and analyzed through central trend resume measures.
Results: 84 surgeries were performed due to diagnosis of transtrochanteric fracture, patient´s age showed a mean of 76.8 years old, and most frequent diseases were Diabetes Mellitus 43 patients, hypertension 32 patients, ischemic heart disease 9 patients, chronic renal failure 8 patients, heart failure 5 patients and stroke sequels 3 patients. 19 patients had no chronic illness. Mortality was observed in 14 (16.66%) patients, from which 7 passed away in the peri-operatoy period, the main causes of death were pneumonia, heart attack, sepsis, acidosis and gastrointestinal bleeding. 13 cases had some chronic illness, among deceased patients.
Conclusion: There was an outstanding incidence for Diabetes Mellitus, hypertension and their chronic complications in patients suffering perioperative death during initial hospitalization.


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