Risk adjustment measures for mortality after hip fracture
DOI:
https://doi.org/10.1590/S0034-89102007000400017Keywords:
Femoral fractures^i2^sepidemiol, Femoral fractures^i2^smortal, Risk adjustment, Risk factors, Cohort studiesAbstract
OBJECTIVE: To assess factors associated to mortality in patients with hip fracture and to describe different risk adjustment measures. METHODS: Non-concurrent cohort study comprising 390 patients aged 50 years and more. Patients were identified from the Brazilian Unified Health System Hospital Information System, admitted for hip fracture surgery in a teaching hospital in Rio de Janeiro, southeastern Brazil, between 1995 and 2000. Data from medical records were collected and analyzed by logistic regression models to study 90-day mortality odds after admission according to patient and treatment profiles. Severity of illness classification indexes were estimated. RESULTS: Mortality rate was 7.4% and factors affecting mortality were age (OR=1.06; 95% CI: 1.02;1.11), number of co-morbidities (OR=1.44; 95% CI: 1.12;1.69), Charlson co-morbidity index (OR=6.67; 95% CI: 2.98;22.16) and time to surgery (OR=1.04; 95% CI: 1.02;1.07). CONCLUSIONS: Number of co-morbidities and Charlson co-morbidity index helped predicting the mortality rate.Downloads
Published
2007-08-01
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Section
Original Articles
How to Cite
Souza, R. C. de, Pinheiro, R. S., Coeli, C. M., Camargo Jr., K. R. de, & Torres, T. Z. G. de. (2007). Risk adjustment measures for mortality after hip fracture . Revista De Saúde Pública, 41(4), 625-631. https://doi.org/10.1590/S0034-89102007000400017