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Colombian Journal of Anestesiology
versão impressa ISSN 0120-3347versão On-line ISSN 2256-2087
Resumo
CARVAJAL ROA, Jossman Javier et al. Experience in the perioperative management of patients with hip fracture in southwestern Colombia. Retrospective cohort study. Rev. colomb. anestesiol. [online]. 2023, vol.51, n.4, e20. Epub 22-Nov-2023. ISSN 0120-3347. https://doi.org/10.5554/22562087.e1080.
Introduction
Hip fracture is one of the main causes of morbidity and mortality among the elderly population. In Colombia there is a shortage of scientific literature on the perioperative management of this population of patients.
Objective
To describe the perioperative management of hip fracture patients at a tertiary university hospital in Cali, Colombia.
Methods
An observational study was conducted with relational scope of a historical cohort of patients with hip fracture who underwent surgical management between January 2018 and June 2022. A non-probability sampling method was used and contingency tables were designed aimed at describing the relationship between the patients' characteristics and the postoperative outcomes.
Results
235 patients were included, of which 57 % were males. The mean age was 79 years and 49.8 % were classified as ASA III or higher. Spinal anesthesia was the most commonly used technique in 63.4 % of the cases. The most frequent outcomes were delirium in 17.9 %, and acute kidney failure in 6.8 %. 83.4 % of the patients underwent surgery within 48 hours of admission to the emergency department and intra-hospital mortality was 2.6 %.
Conclusions
The results of this study provide relevant information to identify opportunities for improvement and their implementation, such as the reduction in the time elapsed until surgical management and the development of care protocols in the region.
Palavras-chave : Hip fractures; Perioperative care; Anesthesia; Elderly; Mortality; Anesthesiology.