Análise da morbimortalidade dos pacientes com fraturas peritrocantéricas tratadas cirurgicamente com haste intramedular de fêmur proximal

Abstract

ObjectiveTo analyzes the morbidity and mortality of patients with pertrochanteric fractures treated with intramedullary nailing and their relation to the length of hospital stay, the time to perform the surgical procedure, and the patients’ comorbidities. MethodsAn observational, analytic, and retrospective study was carried out through the evaluation of the medical records data of a total of 74 patients who underwent surgical treatment of peritrochanteric fractures with intramedullary proximal femoral nail during the period from 2011 to 2014 in a hospital unit. ResultsThe mean age at the moment of the fracture was 79.7 years and the mean total hospitalization time was 16.7 days, with an average of 11.3 days until surgery and 5.4 days after surgery at discharge. The incidence of complications during hospitalization in the group with age greater than or equal to 78.5 years was 47.6%, while in the younger group it was 19.4% (p = 0.013). The incidence of hospitalization complications in the group that underwent surgery over six days after the fracture was significantly higher, 42.9% (p = 0.019). It was also observed that the incidence of complications during hospitalization is significantly associated with cardiac risk index ≥ 3 (p = 0.001) and diabetes mellitus (p = 0.001). ConclusionComplications related to pertrochanteric fractures are significantly related with high cardiac risk index (grades 3 and 4), diabetes mellitus, age (˃ 78.5), and prolonged preoperative hospitalization time (˃ 6 days).