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Evaluación de las complicaciones clínicas de los pacientes con fractura de cadera y sus factores asociados en una Unidad de Agudos de Ortogeriatría

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dc.contributor.author Bielza Galindo, Rafael
dc.contributor.author Fuentes, Paola
dc.contributor.author Blanco Díaz, David
dc.contributor.author Moreno, Ricardo Vicente
dc.contributor.author Arias Muñana, Estefanía
dc.contributor.author Neira Álvarez, Marta
dc.contributor.author Birghilescu, Ana M.
dc.contributor.author Sanz Rosa, David
dc.contributor.author Thuissard Vasallo, Israel John
dc.contributor.author Gómez Cerezo, Jorge Francisco
dc.contributor.author Et al.
dc.date.accessioned 2018-04-05T14:57:05Z
dc.date.available 2018-04-05T14:57:05Z
dc.date.issued 2018
dc.identifier.citation Bielza, R., Fuentes, P., Díaz, D. B., Moreno, R. V., Arias, E., Neira, M., ... & Gómez, J.F. (2018). Evaluación de las complicaciones clínicas de los pacientes con fractura de cadera y sus factores asociados en una Unidad de Agudos de Ortogeriatría. Revista Española de Geriatría y Gerontología, 53, 121-7. spa
dc.identifier.issn 0211-139X
dc.identifier.uri http://hdl.handle.net/11268/7185
dc.description.abstract The incidence of clinical complications in hip fracture (HF) patients is high and variable due to their heterogeneous nature. The aim of the study was to assess the clinical complications and their associated factors in HF patients admitted to the Orthopaedic Geriatric Unit of a 283 bed University Hospital. An average of 200 HF patients is attended yearly. MATERIAL AND METHODS: A prospective, observational and analytical study was conducted on 383 consecutive patients admitted to the unit during the years 2013 and 2014. Clinical complications were defined according to recommendations supported by the AOTrauma Network (International Network of Traumatologists for the Study of Osteosynthesis). RESULTS: A total of 273 patients (71.28%) showed some clinical complication. The main ones were, delirium (55.4%), renal failure (15.4%), and cardiac complications (12.3%). An ASA III-IV score of OR = 1.962 (95% CI; 1.040-3.704, P=.038), lower Barthel index at discharge (b = -3.572, 95% CI -0.866 to -0.104, P=.01), the increase in pre-operative stay (OR = 1.165, 95% CI 1.050-1.294, P=.004) and an increased length of stay (b = 2.663, 95% CI 3.522-0.325; P<.001) were factors associated with clinical complications. CONCLUSIONS: Delirium, renal failure, and cardiac complications were the most frequent complications according the new recommendations. An ASA III-IV score, worse functional status at discharge, prolonged pre-operative period, and increased length of stay, were risk factors associated with clinical complications. Cardiac, pulmonary, and gastrointestinal complications were the main causes of mortality in the unit. spa
dc.description.sponsorship Sin financiación spa
dc.language.iso spa spa
dc.title Evaluación de las complicaciones clínicas de los pacientes con fractura de cadera y sus factores asociados en una Unidad de Agudos de Ortogeriatría spa
dc.title.alternative Assessment of clinical complications and their associated factors in hip-fracture patients in an Acute Geriatric Orthopaedic Unit spa
dc.type article spa
dc.description.impact No data JCR (2018) spa
dc.description.impact 0.244 SJR (2018) Q3, 77/114 Geriatrics and Gerontology, 1828/2844 Medicine (miscellaneous) spa
dc.description.impact No data IDR 2018 spa
dc.identifier.doi 10.1016/j.regg.2018.01.002
dc.rights.accessRights closedAccess spa
dc.subject.uem Geriatría spa
dc.subject.unesco Gerontología spa
dc.description.filiation UEM spa
dc.peerreviewed Si spa


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