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1-YEAR MORTALITY AFTER PROXIMAL FEMORAL FRACTURE: IS DELAY BEFORE SURGERY IMPORTANT?
ESRA Academy. Alegre Pereira N. Sep 8, 2016; 138490; 0350 Topic: Outcome
Nuno Alegre Pereira
Nuno Alegre Pereira

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Abstract
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Background and Aims:

Proximal femoral fractures are associated with 1-year mortality rate of 8.4-36%, and are often associated with profound temporary and sometimes permanent impairment of independence and quality of life. The current literature suggests that early surgery has influence on mortality and functional recovery. The aim of this study was to evaluate the impact of surgical delay on mortality of proximal femoral fracture patients.

Methods:

Prospective, observational study, in Gaia/Espinho Hospital Centre, from 1st July 2012 to 30th June 2013. The study included all patients admitted to the Emergency Department with proximal femoral fracture, submitted to surgery. Clinical records were obtained from Medical System Support with data collection of date and time of admission and discharge. Registration of date and time of surgery was accessed from PICIS®. Early surgery was considered if surgery was performed until 24 hours after hospital admission. Statistical analysis was performed using the SPSS Statistics V.21.0, using the chi-square test and the Student's t test for independent samples (significance level of 0.05).

Results:

Of 246 patients included in the study, 1-year mortality was 22% (N=54). Of individuals included, 41.5% were submitted to early surgery. Using the chi-square test, we concluded that doesn´t exists a relationship between early surgery and one-year mortality (95% confidence interval; p = 0.126). However, we have realized that 25.7% of patients who underwent late surgery died 1 year after, v.s. 16.7% in early operated.

Conclusions:

Early surgery of proximal femoral fracture showed no difference of statistical significance, in the 1-year mortality compared with late surgery.

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