The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures

Abstract Objective To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. Methods A sample of 422 patients with surgically-treated proximal fem...

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Main Authors: Marcelo Teodoro Ezequiel Guerra, Luiz Giglio, João Mauro Mendina Morais, Giovanna Labatut, Monica Cavanus Feijó, Carlos Eduardo Peixoto Kayser
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400387&lng=en&tlng=en
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author Marcelo Teodoro Ezequiel Guerra
Luiz Giglio
João Mauro Mendina Morais
Giovanna Labatut
Monica Cavanus Feijó
Carlos Eduardo Peixoto Kayser
author_facet Marcelo Teodoro Ezequiel Guerra
Luiz Giglio
João Mauro Mendina Morais
Giovanna Labatut
Monica Cavanus Feijó
Carlos Eduardo Peixoto Kayser
author_sort Marcelo Teodoro Ezequiel Guerra
collection DOAJ
description Abstract Objective To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. Methods A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone. Results The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. Themortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality (p = 0.515). High levels of serum creatinine (p = 0.001) and age (p = 0.000) were directly associated with death. Conclusion The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.
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spelling doaj.art-a4365753197e486b9b56f1a75cf5f3e42024-02-02T19:59:21ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437854438739110.1055/s-0039-1694020S0102-36162019000400387The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur FracturesMarcelo Teodoro Ezequiel GuerraLuiz GiglioJoão Mauro Mendina MoraisGiovanna LabatutMonica Cavanus FeijóCarlos Eduardo Peixoto KayserAbstract Objective To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. Methods A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone. Results The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. Themortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality (p = 0.515). High levels of serum creatinine (p = 0.001) and age (p = 0.000) were directly associated with death. Conclusion The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400387&lng=en&tlng=enfemoral fractures/ etiologyfemoral fractures/ surgeryfemoral fractures/ mortalitypostoperative complications
spellingShingle Marcelo Teodoro Ezequiel Guerra
Luiz Giglio
João Mauro Mendina Morais
Giovanna Labatut
Monica Cavanus Feijó
Carlos Eduardo Peixoto Kayser
The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
Revista Brasileira de Ortopedia
femoral fractures/ etiology
femoral fractures/ surgery
femoral fractures/ mortality
postoperative complications
title The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_full The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_fullStr The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_full_unstemmed The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_short The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_sort relationship between the lee score and postoperative mortality in patients with proximal femur fractures
topic femoral fractures/ etiology
femoral fractures/ surgery
femoral fractures/ mortality
postoperative complications
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400387&lng=en&tlng=en
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