Clinical outcomes related factors in elderly with hip fracture assisted in a university hospital

OBJECTIVES: Characterization of elderly patients hospitalized with hip fractures in an university hospital and verification of the impact of interventions applied in the final clinical outcome. METHODS: The medical records elderlies aged 65 or older, admitted to Hospital Universitário Risoleta Tolentino Neves (HURTN) diagnosed with hip fractures in the period from 01/01/2009 to 02/28/2011 were taken. Data of socio-demographic and health conditions were collect for the characterization of the sample. It was taken into consideration the type of fracture, medical treatment received, the time of admission and surgery, and between the surgery and the hospital discharge, checking delays in the procedure and their reasons; and finally the monitoring received from others professional of a health care team. RESULTS: during this period we evaluated 231 elderlies with a mean age of 80.82 years were admitted with a diagnosis of hip fracture. The average number of days between admission and surgery was 8.73 days and 40% of the sample's surgery were brought forward. Among these ones, 60% died in hospital against 40% of those who were not delayed. The presence of delay configured highest number of days between surgery and discharge. In regression analysis were predictive of a higher number of days between surgery and discharge, age and days between admission and surgery. Only 48.4% of the sample received physiotherapy treatment during hospitalization. CONCLUSIONS: There was high in-hospital mortality of elderly patients with proximal femur fracture was associated with age of the patient and the surgical risk. Delay in surgery set up a longer hospitalization.