• 作者：K. Rojo-Venegas^a ; ^{krojo@correo.ugr.es} ; P. Aznarte-Padial^a ; M.A. Calleja-Hern&#225 ; ndez^a ; C. Contreras-Ortega^b ; J.L. Martí ; nez Montes^c ; B. Ló ; pez-Mezquita Molina^c ; M.J. Faus Dader^d
• 关键词：Escala FRAX ; Escala Black ; Factores de riesgo ; Fractura de cadera ; Prevenció ; n
• 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
• 出版年：2010
• 期刊代码：pca311_18884415
• 类别：med
• 出版时间：May-June 2010
• 卷：54
• 期：3
• 页码：167-173
• 文件大小：1020 K

Objective

Describe and quantify risk factors (RF) present in a population hospitalized for hip fracture (HF), apply evaluation scales in patients susceptible to HF and conclude recommendations to prevent them.

Methods

Descriptive cross-sectional study in 87 patients over 64 yrs old admitted for HF. RF were quantified and evaluated in this population. A pharmaceutical-medical education was given at admission and a full reviewed at discharge. The 87 patients studied (77.0%female) had mean age of 83 yrs. 81.6%suffered falls; 42.5%had previous fractures since the age of 50 yrs. All HF were for falls from standing

Variables: age, sex, RF, HF cause, genetic history, hospital mortality, among others. The index Black was applied to all patients and the scale FRAX to 75 patients.

Results

The 42.5%of the patients reported genetic background. 98.9%consumed milk products. The 48.3%presented osteoarticular diseases and only 8.0%received treatment. The 75%waited at least 5 days to undergo surgery. Hospital mortality was 12.6%. According to index Black, 85.1%had a high risk of a new HF. According to SF, 12%were likely to suffer a new HF in the following 10 yrs.

Conclusion

Most patients showed a high number of RF for HF prior hospitalization that was not detected in time. Index Black and Scale Frax are useful tools to detect patients susceptible to HF. Preventive education, particularly focussed on RF, would decrease HF.