1. Impact on Hip Fracture Mortality After the Establishment of an Orthogeriatric Care Program in a Colombian Hospital.
- Author
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Suarez, Sebastian, Pesantez, Rodrigo Fernando, Diaz, Mario Enrique, Sanchez, Daniela, Tristancho, Lady Johana, Vanegas, Maria Victoria, and Olarte, Carlos Mario
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HOSPITALS , *GERIATRIC assessment , *MEDICAL care for older people , *BONE fractures , *HIP joint injuries , *LENGTH of stay in hospitals , *PELVIC bones , *PROPORTIONAL hazards models , *HOSPITAL mortality - Abstract
Objective: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. Method: In total, 298 patients were treated according to the program’s protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan–Meier analysis. Results: The annual survival rate increased from 80% to 89% (p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality. Discussion: This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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