Impact on Hip Fracture Mortality After the Establishment of an Orthogeriatric Care Program in a Colombian Hospital. (April 2017)

• Record Type: Journal Article
• Authors: Suarez, Sebastian; Pesantez, Rodrigo Fernando; Diaz, Mario Enrique; Sanchez, Daniela; Tristancho, Lady Johana; Vanegas, Maria Victoria; Olarte, Carlos Mario
• Is Part Of: Journal of aging and health. Volume 29:Number 3(2017:Apr.)
• Page Start: 474
• Page End: 488
• Publication Date: 2017-04
• Subjects: hip fractures -- orthopedic trauma -- geriatrics -- orthogeriatric care program -- Latin America; Older people -- Health and hygiene -- Periodicals; Geriatrics -- Periodicals; 618.97
• DOI: 10.1177/0898264316636839
• Languages: English
• ISSNs: 0898-2643

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.