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Impact on Hip Fracture Mortality After the Establishment of an Orthogeriatric Care Program in a Colombian Hospital.
- Source :
-
Journal of Aging & Health . Apr2017, Vol. 29 Issue 3, p474-488. 15p. - Publication Year :
- 2017
-
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]
Details
- Language :
- English
- ISSN :
- 08982643
- Volume :
- 29
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Aging & Health
- Publication Type :
- Academic Journal
- Accession number :
- 121638244
- Full Text :
- https://doi.org/10.1177/0898264316636839