Abstract

GARABANO, Germán et al. Epidemiología de la fractura de cadera en la Argentina. Anemia, internación prolongada y puntaje ASA como factores predictivos de morbimortalidad en el análisis de 1000 pacientes. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.1, pp.111-121. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.1.1340.

Background: Hip fractures are associated with a significant impact on morbidity and mortality. The aim of this report was to identify the variables related to the development of complications and mortality after a hip fracture. Materials and Methods: We carried out a data analysis from the first 1000 hip fracture surveys from the Morbidity and Mortality Committee of the Asociación Argentina de Ortopedia y Traumatología. Through a bivariate analysis and a multivariate regression, the independent variables related to the presentation of complications or death were identified. Results: Complications were related to preoperative anemia, delay in surgery, hospital stay, and red blood cell transfusions. In addition, mortality was related to preoperative anemia, red blood cell transfusions, hospital stay, ASA score, and postoperative complications. Multiple regression analysis revealed anemia and prolonged hospitalization to be significant predictors of complications, while anemia and ASA score were recognized as predictors of mortality. Conclusion: This study highlights the predictive value of anemia, an ASA III-IV score, and hospital stay in relation to the morbidity and mortality of patients with hip fracture. Various efforts should be made to optimize the condition of these patients and the health system in order to reduce this impact on morbidity and mortality.

Keywords : Hip fracture; anemia; ASA; hospital stay; morbidity; mortality.

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