Estudo retrospectivo da autonomia funcional pós-fratura de fêmur proximal em 122 pacientes
Retrospective study on the functional autonomy post proximal femoral fracture in 122 patients
DOI:
https://doi.org/10.34117/bjdv8n10-147Keywords:
fraturas de fêmur, autonomia pessoal, complicações pós-operatórias, epidemiologia, morbidadeAbstract
Objetivo: este estudo retrospectivo analisou 122 pacientes admitidos com fratura de fêmur proximal (FFP) em um Hospital particular localizado em Belo Horizonte - MG. Métodos: Dados epidemiológicos, de morbimortalidade, de capacidade mental e funcional foram coletados em até 28 meses de evolução pós-fratura com o objetivo de avaliar detalhadamente a evolução da autonomia funcional desses pacientes. Resultado: a FFP foi associada à deterioração do status funcional e a taxa de mortalidade de 20,5% no primeiro ano. O risco de morrer esteve estatisticamente relacionado com a média do Atividades da Vida Diária (AVD) pré-fratura, a American Society of Anesthesiologists (ASA) pré-operatório, e ao tempo de espera para realização do procedimento cirúrgico e admissão em um Centro de Terapia Intensiva. Pacientes idosos e aqueles com classificação pela ASA mais elevada alcançaram a pior avaliação de AVD pós-fratura. A presença de Alzheimer e Hipertensão Arterial Sistêmica mostraram estar associadas com maior risco de falecimento. Conclusão: pacientes com FFP têm maior risco de morrer no primeiro ano e padecem de deterioração do status funcional no período pós-trauma.
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