Diogo Gameiro (Figueira da Foz / PT), Leonardo Miraldo (Figueira da Foz / PT), Fábio Fernandes (Figueira da Foz / PT), Emanuel Seiça (Figueira da Foz / PT), Alexei Buruian (Figueira da Foz / PT), André Carvalho (Figueira da Foz / PT), Francisco Alpoim (Figueira da Foz / PT), Carlos Pereira (Figueira da Foz / PT)
Abstract text (incl. references and figure legends)
Introduction: Hip fractures are common among the elderly. Mortality rate (MR) can reach 30% at 1-year (1y) after surgery. Time to surgery (TS) is important to clinical outcomes and a surgery delay may lead to an increase in mortality.
Methods: We did a retrospective analysis about all the patients with intracapsular fractures treated in our center between 2018 and 2021 and we collect data concerning sex, age, treatment strategy, TS, surgical approach, length of stay (LOS), pre or postoperative complications, need for blood transfusion (BT), difference between pre and postoperative hemoglobin (Hb), discharge destination (DD), and MR at 1-year after surgery. We did a statistical analysis with SPSS. The data did not follow a normal distribution.
Results: We got 156 patients, 103 females and 53 males, with a median (M) age of 82 years old. 55 patients were submitted to total hip arthroplasty (THA), 90 to partial hip arthroplasty (PHA), 9 to fixation with cannulated screws, 1 to Girdlestone procedure and 1 to conservative treatment. The M LOS was 12 days, with a M TS of 3 days. 27,7% of cases were discharged to a continued care unit. The overall 1y MR was 10,9%. The age, TS, LOS and Hb difference didn"t influence the 1y MR after surgery (p>0,05). Besides, anticoagulants, pre and postoperative complications and DD didn"t affect MR at 1-year follow-up either (p>0,05). The 1y MR was different between patients submitted to THA and PHA (X2=4,30;p=0,038) - THA patients with a MR of 3,7% and PHA patients with 13,6%. 25% of the patients that received BT were dead at 1 year follow-up comparing with a MR of 4,7% in patients that didn"t receive (X2=13,458; p=0,001).Patients submitted to THA were younger (M=73 years) than PHA patients (M=86 years) - p<0,001 - but there was no difference regarding LOS, Hb difference, and BT needs.
Conclusion: In our study PHA patients and blood transfusion were associated with a higher mortality rate at 1 year after surgery.
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