8/5/2023 0 Comments Femur break elderly recovery![]() p-Values lower than 0.05 were considered statistically significant. Age and ASA score were considered as continuous variables for the multivariate regression models. The relationship between mortality and study characteristics was assessed with multivariate regression models. All data were analyzed with standard descriptive statistics. Patients were also divided into two groups according to early (within 48 h) or delayed (> 48 h) surgical treatment to evaluate whether early surgery (among other factors) was significantly related to mortality. Ambulation from bed to bathroom with walking aids was the minimum criterion to define the patient as able to walk. All patients were allowed to full weight bearing after surgery. The following data were collected: age at admission, gender, date and time of admission to the emergency department (ER), height, weight, body mass index (BMI), type of fracture (pertrochanteric, subtrochanteric, basicervical, subcapital, and transcervical then grouped into intracapsular or extracapsular), side of fracture (right or left), American Society of Anesthesiologists (ASA) score, date and time of surgery, surgical time, length of hospitalization, death during hospitalization, ability to walk 10 days after fracture, and mortality at 6 and 12 months. The present study was approved by the institutional review board and was conducted in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Hospital charts were retrospectively reviewed following patients’ informed consent to use their data. Exclusion criteria included patient being younger than 65 years, death before surgery, nonsurgical treatment, and inability to walk before trauma. Level of evidenceĪll patients admitted at a level I trauma center with proximal femoral fracture during a 1-year period were included in this study. ![]() ConclusionsĮarly surgery in femur fracture became a priority in health systems, but early postoperative physiotherapy also plays a major role in prevention of mortality: independently from surgical timing, patients who did not walk again within 10 days from surgery showed mortality rates higher than those of patients who did. Early surgery and walking ability at 10 days after trauma were independently and significantly associated with mortality at 6 months ( p = 0.014 and 0.002, respectively) and at 1 year (0.027 and 0.009, respectively). The mean age was 83.6 years ASA score was 3–5 in 53% of patients 42.7% presented with medial fracture mean time between admission and surgery was 48.4 h 22.7% of patients were not able to walk during the first 10 days after fracture mean duration of hospitalization was 13 days and mortality was 17% at 6 months and 25% at 1 year. The following data were collected: age, gender, date and time of admission to emergency department, height, weight, body mass index, type and side of fracture, ASA score, date and time of surgery, surgical time, time to ambulation, length of hospitalization, death during hospitalization, and mortality at 6 and 12 months. Patients and methodsĪll patients older than 65 years admitted at a level I trauma center with proximal femoral fracture during a 1-year period were included. The purpose of the present study is to evaluate whether time to ambulation is correlated to femur fracture mortality independently from time to surgery. Literature has shown a significant correlation between early treatment and mortality in femur fractures, but the influence of time to ambulation on mortality has not been studied. ![]()
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