Caracterización de la fractura de cadera por fragilidad, causas de retraso quirúrgico y mortalidad en un centro terciario de Palmira, Colombia.
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| Title: | Caracterización de la fractura de cadera por fragilidad, causas de retraso quirúrgico y mortalidad en un centro terciario de Palmira, Colombia. |
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| Alternate Title: | Characterization of fragility hip fractures, causes of surgical delay and mortality. A retrospective cohort study from a tertiary center in Palmira, Colombia. |
| Authors: | Arias Ramos, Deving1,2 deving.arias@gmail.com, Calvo Osorio, Daniela2,3, Barbery Cardona, Christian Camilo2,4, Reyes Melo, Jefferson Andrés2,4, Valencia, Juan Camilo2,4, Zambrano Melo, Camila2,5 |
| Source: | Revista Médica de Risaralda. jul-dic2025, Vol. 31 Issue 2, p107-121. 15p. |
| Subjects: | HIP fractures, TREATMENT delay (Medicine), OLDER people, COMORBIDITY, MORTALITY, COHORT analysis, ELECTIVE surgery |
| Geographic Terms: | COLOMBIA |
| Abstract (English): | Introduction: Fragility hip fractures in older adults are associated with high morbidity, mortality, and disability, with a detrimental impact on quality of life in the older adult population. Methods: A retrospective cohort study was conducted in a tertiary clinic in Colombia from January 2021 to December 2023. The objective of the study was to describe the clinical characteristics of older adult patients hospitalized with fragility hip fractures and to establish the factors associated with mortality and early versus late surgery. Results: A total of 191 patients were analyzed. The median age was 84 years. The cumulative mortality rate at 12 months of follow-up was 13% (n=25/191). 48.7% of surgeries were performed in less than 48 hours. Factors associated with cumulative mortality at 12 months were a Charlson score greater than 5 and surgery performed more than 48 hours later. Factors associated with surgical delay were sarcopenia, CKD with a GFR < 45 ml/min, and hemoglobin levels on admission < 9 g/dL Conclusions: Elderly patients with hip fractures often have multimorbid-ity, which makes them more clinically complex. Medical evaluation should aim to identify and stabilize comorbidities to achieve early surgery. In Colombia, there may be gaps in achieving the goal of early surgery related to the type of health insurance. It is important to strengthen guidelines for the prevention of osteoporotic fractures and curb therapeutic inertia. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La fractura de cadera por fragilidad en adultos mayores se asocia con alta morbilidad, mortalidad y discapacidad, con un impacto significativo en la calidad de vida y en los costos del sistema de salud. Materiales y métodos: Estudio de cohorte retrospectivo realizado en una clínica de nivel III en Colombia, entre enero de 2021 y diciembre de 2023. Se describieron las características clínicas de los pacientes adultos mayores hospitalizados con fractura de cadera por fragilidad y se analizaron los factores asociados a la mortalidad y al retraso quirúrgico (definido como cirugía realizada después de 48 horas del ingreso). Resultados: Se analizaron 191 pacientes, con una mediana de edad de 84 años (RIC: 78-89). La mortalidad acumulada a los 12 meses fue del 13 % (n = 25). El 48,7 % de las cirugías se realizaron dentro de las primeras 48 horas. Los factores asociados a mayor mortalidad a 12 meses fueron un índice de comorbilidad de Charlson > 5 puntos (p < 0,01) y la cirugía realizada después de 48 horas (p < 0,05). Los principales factores asociados al retraso quirúrgico fueron sarcopenia, enfermedad renal crónica con TFG < 45 ml/ min y hemoglobina al ingreso < 9 g/dL. Conclusiones: Los pacientes adultos mayores con fractura de cadera presentan elevada carga de multimorbilidad, lo que incrementa la complejidad clínica y el riesgo de complicaciones. La optimización médica para lograr cirugía temprana es clave para reducir la mortalidad. En Colombia persisten barreras estructurales, incluyendo inequidades según el tipo de aseguramiento. Es prioritario fortalecer las estrategias de prevención de fracturas osteoporóticas y reducir la inercia terapéutica en el manejo de la osteoporosis. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Médica de Risaralda is the property of Universidad Tecnologica de Pereira and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 192269828 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Caracterización de la fractura de cadera por fragilidad, causas de retraso quirúrgico y mortalidad en un centro terciario de Palmira, Colombia. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Characterization of fragility hip fractures, causes of surgical delay and mortality. A retrospective cohort study from a tertiary center in Palmira, Colombia. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Arias+Ramos%2C+Deving%22">Arias Ramos, Deving</searchLink><relatesTo>1,2</relatesTo><i> deving.arias@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Calvo+Osorio%2C+Daniela%22">Calvo Osorio, Daniela</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Barbery+Cardona%2C+Christian+Camilo%22">Barbery Cardona, Christian Camilo</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Reyes+Melo%2C+Jefferson+Andrés%22">Reyes Melo, Jefferson Andrés</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Valencia%2C+Juan+Camilo%22">Valencia, Juan Camilo</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Zambrano+Melo%2C+Camila%22">Zambrano Melo, Camila</searchLink><relatesTo>2,5</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Médica+de+Risaralda%22">Revista Médica de Risaralda</searchLink>. jul-dic2025, Vol. 31 Issue 2, p107-121. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HIP+fractures%22">HIP fractures</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+delay+%28Medicine%29%22">TREATMENT delay (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22OLDER+people%22">OLDER people</searchLink><br /><searchLink fieldCode="DE" term="%22COMORBIDITY%22">COMORBIDITY</searchLink><br /><searchLink fieldCode="DE" term="%22MORTALITY%22">MORTALITY</searchLink><br /><searchLink fieldCode="DE" term="%22COHORT+analysis%22">COHORT analysis</searchLink><br /><searchLink fieldCode="DE" term="%22ELECTIVE+surgery%22">ELECTIVE surgery</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22COLOMBIA%22">COLOMBIA</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: Fragility hip fractures in older adults are associated with high morbidity, mortality, and disability, with a detrimental impact on quality of life in the older adult population. Methods: A retrospective cohort study was conducted in a tertiary clinic in Colombia from January 2021 to December 2023. The objective of the study was to describe the clinical characteristics of older adult patients hospitalized with fragility hip fractures and to establish the factors associated with mortality and early versus late surgery. Results: A total of 191 patients were analyzed. The median age was 84 years. The cumulative mortality rate at 12 months of follow-up was 13% (n=25/191). 48.7% of surgeries were performed in less than 48 hours. Factors associated with cumulative mortality at 12 months were a Charlson score greater than 5 and surgery performed more than 48 hours later. Factors associated with surgical delay were sarcopenia, CKD with a GFR < 45 ml/min, and hemoglobin levels on admission < 9 g/dL Conclusions: Elderly patients with hip fractures often have multimorbid-ity, which makes them more clinically complex. Medical evaluation should aim to identify and stabilize comorbidities to achieve early surgery. In Colombia, there may be gaps in achieving the goal of early surgery related to the type of health insurance. It is important to strengthen guidelines for the prevention of osteoporotic fractures and curb therapeutic inertia. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: La fractura de cadera por fragilidad en adultos mayores se asocia con alta morbilidad, mortalidad y discapacidad, con un impacto significativo en la calidad de vida y en los costos del sistema de salud. Materiales y métodos: Estudio de cohorte retrospectivo realizado en una clínica de nivel III en Colombia, entre enero de 2021 y diciembre de 2023. Se describieron las características clínicas de los pacientes adultos mayores hospitalizados con fractura de cadera por fragilidad y se analizaron los factores asociados a la mortalidad y al retraso quirúrgico (definido como cirugía realizada después de 48 horas del ingreso). Resultados: Se analizaron 191 pacientes, con una mediana de edad de 84 años (RIC: 78-89). La mortalidad acumulada a los 12 meses fue del 13 % (n = 25). El 48,7 % de las cirugías se realizaron dentro de las primeras 48 horas. Los factores asociados a mayor mortalidad a 12 meses fueron un índice de comorbilidad de Charlson > 5 puntos (p < 0,01) y la cirugía realizada después de 48 horas (p < 0,05). Los principales factores asociados al retraso quirúrgico fueron sarcopenia, enfermedad renal crónica con TFG < 45 ml/ min y hemoglobina al ingreso < 9 g/dL. Conclusiones: Los pacientes adultos mayores con fractura de cadera presentan elevada carga de multimorbilidad, lo que incrementa la complejidad clínica y el riesgo de complicaciones. La optimización médica para lograr cirugía temprana es clave para reducir la mortalidad. En Colombia persisten barreras estructurales, incluyendo inequidades según el tipo de aseguramiento. Es prioritario fortalecer las estrategias de prevención de fracturas osteoporóticas y reducir la inercia terapéutica en el manejo de la osteoporosis. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Médica de Risaralda is the property of Universidad Tecnologica de Pereira and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.22517/25395203.25822 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 15 StartPage: 107 Subjects: – SubjectFull: HIP fractures Type: general – SubjectFull: TREATMENT delay (Medicine) Type: general – SubjectFull: OLDER people Type: general – SubjectFull: COMORBIDITY Type: general – SubjectFull: MORTALITY Type: general – SubjectFull: COHORT analysis Type: general – SubjectFull: ELECTIVE surgery Type: general – SubjectFull: COLOMBIA Type: general Titles: – TitleFull: Caracterización de la fractura de cadera por fragilidad, causas de retraso quirúrgico y mortalidad en un centro terciario de Palmira, Colombia. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Arias Ramos, Deving – PersonEntity: Name: NameFull: Calvo Osorio, Daniela – PersonEntity: Name: NameFull: Barbery Cardona, Christian Camilo – PersonEntity: Name: NameFull: Reyes Melo, Jefferson Andrés – PersonEntity: Name: NameFull: Valencia, Juan Camilo – PersonEntity: Name: NameFull: Zambrano Melo, Camila IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: jul-dic2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 01220667 Numbering: – Type: volume Value: 31 – Type: issue Value: 2 Titles: – TitleFull: Revista Médica de Risaralda Type: main |
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