The incidence of preexisting medical diseases (comorbid conditions) and their influence on the high rate of falls, associated severe injuries, operative treatment, and outcome including mortality rate, duration of hospitalization, and rehabilitation success was retrospectively evaluated in a group of 102 patients (mean age, 81 years ; 81% women) with femoral fractures.
A comparison of polymorbidity rates in a control group of 102 patients (mean age, 79 years ; 86% women) with proximal humeral fractures was added.
The associated polymorbidity rate among patients with femoral fractures (FF) usually was statistically significantly higher than among patients with proximal humeral fractures (PHF) despite a comparable age and sex distribution : 80% of the patients with FF presented with cardiovascular (p ¾ 0.001), 41% with pulmonary (p ¾ 0.001), 67% with gastrointestinal (p ¾ 0.001), 71% with neurologic (p ¾ 0.001), 55% with urologic (p ¾ 0.001), 75% with musculoskeletal (p ¾ 0.1), and 61% with psychiatric (p ¾ 0.001) disorders and complaints.
Ninety percent of the patients used different medications (diuretics, cardiac agents, anticoagulants, antidiabetic agents, steroids, hypnotics, analgesics, psychotropic agents).
The postoperative mortality rate was 11%, and the mean hospitalization period was 30 days.
Forty-nine percent of the patients were discharged to their homes. (...)
Mots-clés Pascal : Fracture, Os, Fémur, Vieillard, Homme, Facteur risque, Morbidité, Epidémiologie, Traitement, Réhabilitation, Postopératoire, Pronostic, Etude comparative, Humérus, Membre inférieur, Hanche, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Fracture, Bone, Femur, Elderly, Human, Risk factor, Morbidity, Epidemiology, Treatment, Rehabilitation, Postoperative, Prognosis, Comparative study, Humerus, Lower limb, Hip, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0002155
Code Inist : 002B16H. Création : 17/04/1998.