Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study
Abstract Background and objectives: Perioperative management of femoral fractures in elderly patients has been studied to determine modifiable causes of complications and death. The aim of this study was to evaluate the mortality rate and its causes in the elderly population with FF. We also evalua...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Anestesiologia
2020-02-01
|
| Series: | Revista Brasileira de Anestesiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000600569&tlng=en |
| _version_ | 1819007486800166912 |
|---|---|
| author | Talita de Almeida Barbosa André Moreira Fogaça de Souza Fábio Caetano Oliveira Leme Letícia Dalla Vecchia Grassi Fabio Bussolan Cintra Rodrigo Moreira e Lima David Nicoletti Gumieiro Lais Helena Navarro e Lima |
| author_facet | Talita de Almeida Barbosa André Moreira Fogaça de Souza Fábio Caetano Oliveira Leme Letícia Dalla Vecchia Grassi Fabio Bussolan Cintra Rodrigo Moreira e Lima David Nicoletti Gumieiro Lais Helena Navarro e Lima |
| author_sort | Talita de Almeida Barbosa |
| collection | DOAJ |
| description | Abstract Background and objectives: Perioperative management of femoral fractures in elderly patients has been studied to determine modifiable causes of complications and death. The aim of this study was to evaluate the mortality rate and its causes in the elderly population with FF. We also evaluated perioperative complications and their association with postoperative mortality. Method: In this prospective and observational study, we evaluated 182 patients, by questionnaire and electronic medical record, from the moment of hospitalization to one year after surgery. Statistical analyzes using the multivariate Cox proportional hazards model and Kaplan-Meier curves were performed to detect independent mortality factors. Results: Fifty-six patients (30.8%) died within one year after surgery, and the main cause of death was infection followed by septic shock. The main complication, both preoperatively and postoperatively, was hydroelectrolytic disorder. For every one-unit (one-year) increase in age, the odds ratio for death increased by 4%. With each new preoperative complication, the odds ratio for death increased by 28%. Patients ASA III or IV had a 95% higher odds ratio for death than patients ASA I or II. Conclusions: Increasing age and number of preoperative complications, in addition to ASA classification III or IV, were independent factors of increased risk of death in the population studied. The mortality rate was 30.8%, and infection followed by septic shock was the leading cause of death. |
| first_indexed | 2024-12-21T00:25:21Z |
| format | Article |
| id | doaj.art-8046352b404640a082d8d321f9d81ed8 |
| institution | Directory Open Access Journal |
| issn | 1806-907X |
| language | English |
| last_indexed | 2024-12-21T00:25:21Z |
| publishDate | 2020-02-01 |
| publisher | Sociedade Brasileira de Anestesiologia |
| record_format | Article |
| series | Revista Brasileira de Anestesiologia |
| spelling | doaj.art-8046352b404640a082d8d321f9d81ed82022-12-21T19:22:00ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X2020-02-0169656957910.1016/j.bjane.2019.10.008Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational studyTalita de Almeida Barbosahttps://orcid.org/0000-0002-1104-9905André Moreira Fogaça de SouzaFábio Caetano Oliveira LemeLetícia Dalla Vecchia GrassiFabio Bussolan CintraRodrigo Moreira e LimaDavid Nicoletti GumieiroLais Helena Navarro e LimaAbstract Background and objectives: Perioperative management of femoral fractures in elderly patients has been studied to determine modifiable causes of complications and death. The aim of this study was to evaluate the mortality rate and its causes in the elderly population with FF. We also evaluated perioperative complications and their association with postoperative mortality. Method: In this prospective and observational study, we evaluated 182 patients, by questionnaire and electronic medical record, from the moment of hospitalization to one year after surgery. Statistical analyzes using the multivariate Cox proportional hazards model and Kaplan-Meier curves were performed to detect independent mortality factors. Results: Fifty-six patients (30.8%) died within one year after surgery, and the main cause of death was infection followed by septic shock. The main complication, both preoperatively and postoperatively, was hydroelectrolytic disorder. For every one-unit (one-year) increase in age, the odds ratio for death increased by 4%. With each new preoperative complication, the odds ratio for death increased by 28%. Patients ASA III or IV had a 95% higher odds ratio for death than patients ASA I or II. Conclusions: Increasing age and number of preoperative complications, in addition to ASA classification III or IV, were independent factors of increased risk of death in the population studied. The mortality rate was 30.8%, and infection followed by septic shock was the leading cause of death.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000600569&tlng=enFemoral fracturesPostoperative complicationsRisk factorsMortality |
| spellingShingle | Talita de Almeida Barbosa André Moreira Fogaça de Souza Fábio Caetano Oliveira Leme Letícia Dalla Vecchia Grassi Fabio Bussolan Cintra Rodrigo Moreira e Lima David Nicoletti Gumieiro Lais Helena Navarro e Lima Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study Revista Brasileira de Anestesiologia Femoral fractures Postoperative complications Risk factors Mortality |
| title | Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study |
| title_full | Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study |
| title_fullStr | Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study |
| title_full_unstemmed | Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study |
| title_short | Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study |
| title_sort | perioperative complications and mortality in elderly patients following surgery for femoral fracture prospective observational study |
| topic | Femoral fractures Postoperative complications Risk factors Mortality |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000600569&tlng=en |
| work_keys_str_mv | AT talitadealmeidabarbosa perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy AT andremoreirafogacadesouza perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy AT fabiocaetanooliveiraleme perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy AT leticiadallavecchiagrassi perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy AT fabiobussolancintra perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy AT rodrigomoreiraelima perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy AT davidnicolettigumieiro perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy AT laishelenanavarroelima perioperativecomplicationsandmortalityinelderlypatientsfollowingsurgeryforfemoralfractureprospectiveobservationalstudy |