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MORTALITY PREDICTOR IN ELDERLY PATIENTS AFTER PROXIMAL THIRD FEMUR FRACTURE: ANALYSIS OF 395 CASES
Jean Klay Santos Machado1, Eduardo Cezar Silva Dos Santos1, Deivid Ramos Dos Santos1
1Hospital Porto Dias, Departamento de Ortopedia e Traumatologia, Belem, PA, Brazil.
Acta Ortopedica Brasileira
|September 25, 2025
Summary
Elderly patients with proximal femoral fractures face significant mortality risks. Key factors include advanced age, delayed surgery, low hemoglobin, leukocytosis, and pulmonary infections, contributing to a 20.75% one-year mortality rate.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Epidemiology
Background:
- Proximal femoral fractures are a significant health concern in the elderly population.
- Mortality rates following these fractures remain high, necessitating identification of risk factors.
Purpose of the Study:
- To identify risk factors associated with mortality in elderly patients (≥60 years) with proximal femoral fractures.
- To analyze mortality up to one year post-fracture.
Main Methods:
- Prospective cohort study involving 395 elderly patients with proximal femoral fractures.
- Data collected at a referral hospital in Belém, PA.
Main Results:
- Significant mortality risk factors identified: age ≥83 years, fracture-to-surgery time ≥3 days, hemoglobin <9 g/dL, leukocytosis, and pulmonary infection.
- Mortality rate was 20.75% within one year post-fracture.
- Pulmonary sepsis was the leading cause of death.
Conclusions:
- Age, delayed surgery, low hemoglobin, leukocytosis, and pulmonary infections are critical predictors of mortality in elderly patients with proximal femoral fractures.
- Gender, fracture type, and comorbidities were not significant mortality determinants in this cohort.
- Pulmonary sepsis is a primary cause of death in this patient group.
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