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Enfermería Global
On-line version ISSN 1695-6141
Abstract
LOPEZ-HURTADO, Felipe; MINARRO DEL MORAL, Rosa María; ARROYO RUIZ, Verónica and RODRIGUEZ-BORREGO, María Aurora. Complications presented in patients over 65 years admitted for hip fracture in an Andalusian tertiary hospital. Enferm. glob. [online]. 2015, vol.14, n.40, pp.33-43. ISSN 1695-6141.
Purpose: To know the complications that occurred in patients over 65 years admitted to an Andalusian tertiary hospital during 2012 with a primary diagnosis of hip fracture. Methodology: Design: Cross-sectional study. Scope, period and cohort: Patients admitted in 2012 over 65 years with a primary diagnosis of hip fracture. Main outcomes: Morbidity and mortality collected in the Andalusian Minimum Data Set , analyzed in terms of other variables that influence their occurrence according to the literature (age, sex, comorbidity, etc). Instruments: Statistical analysis has been done with Epidat and G-Stat, statistical free software, to get and compare means and proportions of the variables. Results: The mean age was 83.16(6.68) years old. The mortality rate was 4.99%. The average length of stay was 10.2 days. Extracapsular fractures were more frequent than intracapsular ones, 64.24% and 35.76% respectively. The average preoperative stay was 3.5 days. The most frequent treatment was osteosynthesis, with 62.6%. The most common complication, excluding exitus, was "surgical urinary tract complications". Total complicated patients was 8.7%, including the deceased. Male gender, older age and surgical delay was associated with development of complications. The highest percentages of complications occurred in patients with three comorbidities. Conclusion: The presence of complications during the period of hospitalization of elderly patients admitted for hip fracture is associated with male gender, older age, surgical delay and more comorbidities.
Keywords : Hip fracture; complications; elderly; 65 years old; Andalusian Minimum Data Set Basic Minimum Data; discharge.
