Fractura osteoporótica de cadera. Estudio de factores de riesgo de mortalidad en la población geriátrica

Identificador:  TDX:4133

Handle: https://hdl.handle.net/20.500.11797/TDX4133

Autors:  García Alba, Javier

Resum:
Hip fracture in people over 65 years of age is a prevalent pathology nowadays and with a very important repercussion on the daily life of this group. For this reason, it is important to know the risk factors which can condition the prognosis of these patients. In the current available literature, some of these have been described, but there is little research that mentions the impact of the interaction between them. In addition, there are controversies between different theoretical currents to determine to what extent these factors may condition the prognosis of these patients. These differences are due to the heterogeneity of the populations and the particularities of the care of people in each country. This doctoral thesis aims to determine survival and those risk factors for mortality among a set of geriatric syndromes in the population over 65 years of age who have suffered a hip fracture of osteoporotic cause in the reference population of the Hospital Universitari Sant Joan. For this purpose, a prospective observational study was carried out with a one-year follow-up on a cohort of 825 patients attended by the Orthopaedic Surgery and Traumatology service of the Hospital Universitari Sant Joan de Reus, over 65 years of age who have suffered a hip fracture of the osteoporotic type. The data were collected prospectively from 2015 to 2018 and recorded for subsequent analysis with the SPSS statistical programme 28.0. Once the data has been analysed, it is worth mentioning, firstly, that the mortality rate one year after suffering a fracture of the proximal femur is 31.1%. On the other hand, the main risk factor for mortality 6 months after suffering the fracture was suffering confusional syndrome during admission, while the risk factors for mortality at one year were presenting an alteration in renal function on admission, registering anaemia on admission, suffering dementia on admission, suffering respiratory infection during the hospital stay or presenting severe or total dependency on admission according to the Barthel scale. Secondly, this study has been able to determine the fundamental role played by multidisciplinary care of patients who have suffered a hip fracture, allowing them to have a better functional recovery, greater adherence to treatment and lower mortality. Finally, this doctoral thesis p