Introduction: Hip fractures are one of the main reasons older adults end up in the hospital and treating them usually involves several medical specialists. In Latin America, the number of cases ranges from 40 to 360 per 100,000 people. On average, patients are around 80 years old, and about 80% of cases happen in women. The risk goes up with age, and the first year after the fracture is especially risky—it’s when most complications, illnesses, and even deaths happen. It’s also a time when many patients experience geriatric syndromes. Objective: To describe one-year mortality after being discharged from the hospital due to a hip fracture in patients over 65 who were treated at the Regional General Hospital No. 1 in Charo, Michoacán, between 2022 and 2023. Materials and Methods: This was an observational, cross-sectional, retrospective, and descriptive study. We included all patients aged 65 and older who were treated for a hip fracture during the study period. Data was collected using Epi Info. Results: Five patients died during the study period, which equals 2.1% of the total. All deaths were caused by septic shock, and on average, they occurred about 268 ± 197.3 days after surgery—roughly 8 to 9 months post-op. Conclusions: There was a strong link between death and the presence of complications (OR = 18.4). Other important associations included complications related to specific treatments, especially open reduction and internal fixation (ORIF) with an intramedullary nail (OR = 24.7), having a Katz Index category of “C” (OR = 24.7), and having a subtrochanteric type of fracture (OR = 5.9). All of these associations were statistically significant (p < 0.05).
Antecedentes. La Fractura de Cadera (FC) es causa común de hospitalización y amerita una evaluación multidisciplinaria. En estudios en Latinoamérica, la incidencia varía entre 40 a 360 pacientes por cada 100 000 habitantes. La edad media es 80 años y el 80% mujeres. El riesgo aumenta conforme se envejece; mayor riesgo de morbimortalidad y asociación con síndromes geriátricos en el primer año. Objetivo. Describir la mortalidad por Fractura de Cadera en personas mayores de 65 años a un año de egreso hospitalario en el HGR No. 1 Charo, Michoacán durante el periodo de 2022-2023. Material y Métodos. Estudio observacional, transversal, retrospectivo y descriptivo. Utilizando Epi info el cual será todo paciente mayor de 65 años que ingresó por fractura de cadera durante el periodo 2022-2023 (con las características de elección). Resultados. Se registraron 5 defunciones en el periodo de estudio, que representa el 2.1% de los casos, siendo en el 100% de los casos debido a choque séptico, en un promedio de 268±197.3 días postquirúrgico. Es decir, de 8 a 9 meses. Conclusiones. Se demuestra asociación entre la defunción y presencia de complicaciones con OR de 18.4. Y asociación entre complicaciones y el tipo de tratamiento con RAFI + clavo centro medular (OR=24.7); escala de Katz “C” (OR=24.7), y tipo de fractura subtrocantérica (OR=5.9). todas con significancia estadística p<0.05.
