Services on Demand
Journal
Article
Spanish (pdf)
Article in xml format
Article references
Automatic translation
Send this article by e-mailIndicators
Cited by SciELO 
Access statistics
Related links
Similars in
SciELO
Share
Permalink
Revista Científica Ciencia Médica
Print version ISSN 1817-7433On-line version ISSN 2220-2234
Abstract
ROMERO LEDEZMA, Karla and EROSTEGUI REVILLA, Carlos. RISK OF HIP FRACTURE IN OLDER ADULTS EVALUATED WITH THE CHARLSON INDEX. Rev Cient Cienc Méd [online]. 2024, vol.27, n.1, pp.20-26. Epub June 30, 2024. ISSN 1817-7433.
The World Health Organization (2019) mentions that the population now has a life expectancy of 73.3 years, in most cases also accompanied by an increase in comorbidities and this varies according to the place where the individual lives and with it the hip fractures.
Objective:
to characterize risks for hip fractures in older adults and evaluate the usefulness of the Charlson Index to predict mortality in this group.
Methods:
it is a retrospective case-control study.The sample was 148 patients. It was compared between patients with hip fracture and a control group without this condition. Among the variables the calculation of the Charlson Index and analysis of other risk factors (age, comorbidities, cause of the fracture) were used.
Results:
they showed that the risk increases with advanced age, greater comorbidity (diabetes, Parkinson's, dementia), Charlson score significantly higher in the group with fracture. The most frequent triggering cause being falls.
Conclusion:
The risks to be highlighted are advanced age and multiple chronic diseases. The utility of the Charlson Index as a useful tool to identify patients with a higher risk of mortality. Prevention of falls, early surgical intervention and improvement of the prognosis should be carried out. The limitations of the study are centered on its observational nature, which prevents establishing definitive causal relationships between the variables analyzed.
Keywords : Comorbidity; elderly; hip injuries; clinical evolution.
