The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures

Abstract Objective To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. Methods A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone. Results The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. Themortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality (p = 0.515). High levels of serum creatinine (p = 0.001) and age (p = 0.000) were directly associated with death. Conclusion The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.

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Main Authors: Guerra,Marcelo Teodoro Ezequiel, Giglio,Luiz, Morais,João Mauro Mendina, Labatut,Giovanna, Feijó,Monica Cavanus, Kayser,Carlos Eduardo Peixoto
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400387
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spelling oai:scielo:S0102-361620190004003872019-10-02The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur FracturesGuerra,Marcelo Teodoro EzequielGiglio,LuizMorais,João Mauro MendinaLabatut,GiovannaFeijó,Monica CavanusKayser,Carlos Eduardo Peixoto femoral fractures/ etiology femoral fractures/ surgery femoral fractures/ mortality postoperative complications Abstract Objective To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. Methods A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone. Results The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. Themortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality (p = 0.515). High levels of serum creatinine (p = 0.001) and age (p = 0.000) were directly associated with death. Conclusion The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.54 n.4 20192019-07-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400387en10.1055/s-0039-1694020
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libraryname SciELO
language English
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author Guerra,Marcelo Teodoro Ezequiel
Giglio,Luiz
Morais,João Mauro Mendina
Labatut,Giovanna
Feijó,Monica Cavanus
Kayser,Carlos Eduardo Peixoto
spellingShingle Guerra,Marcelo Teodoro Ezequiel
Giglio,Luiz
Morais,João Mauro Mendina
Labatut,Giovanna
Feijó,Monica Cavanus
Kayser,Carlos Eduardo Peixoto
The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
author_facet Guerra,Marcelo Teodoro Ezequiel
Giglio,Luiz
Morais,João Mauro Mendina
Labatut,Giovanna
Feijó,Monica Cavanus
Kayser,Carlos Eduardo Peixoto
author_sort Guerra,Marcelo Teodoro Ezequiel
title The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_short The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_full The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_fullStr The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_full_unstemmed The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures
title_sort relationship between the lee score and postoperative mortality in patients with proximal femur fractures
description Abstract Objective To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. Methods A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone. Results The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. Themortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality (p = 0.515). High levels of serum creatinine (p = 0.001) and age (p = 0.000) were directly associated with death. Conclusion The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.
publisher Sociedade Brasileira de Ortopedia e Traumatologia
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400387
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