Impact on Hip Fracture Mortality After the Establishment of an Orthogeriatric Care Program in a Colombian Hospital

Objective: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. Method: In total, 298 patients were treated according...

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Bibliographic Details
Published in:Journal of aging and health 2017-04, Vol.29 (3), p.474-488
Main Authors: Suarez, Sebastian, Pesantez, Rodrigo Fernando, Diaz, Mario Enrique, Sanchez, Daniela, Tristancho, Lady Johana, Vanegas, Maria Victoria, Olarte, Carlos Mario
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
Cardiovascular disease
Colombia - epidemiology
Female
Fractures
Health Services for the Aged
Health technology assessment
Hip Fractures - mortality
Hip joint
Hospitalization
Hospitals, Urban
Humans
Length of Stay
Male
Mortality
Mortality - trends
Orthopedics
Proportional Hazards Models
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Summary:Objective: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. Method: In total, 298 patients were treated according to the program’s protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan–Meier analysis. Results: The annual survival rate increased from 80% to 89% (p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality. Discussion: This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes.
ISSN:0898-2643
1552-6887
DOI:10.1177/0898264316636839