{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:39Z","timestamp":1740148599130,"version":"3.37.3"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"vor","delay-in-days":50,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Analisar a morbimortalidade dos pacientes com fraturas peritrocant\u00e9ricas tratadas com haste intramedular e sua rela\u00e7\u00e3o com o tempo de interna\u00e7\u00e3o, com o tempo para fazer o procedimento cir\u00fargico, e com as comorbidades dos pacientes.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Foi feito um estudo observacional, anal\u00edtico e retrospectivo por meio da avalia\u00e7\u00e3o dos prontu\u00e1rios de 74 pacientes submetidos ao tratamento cir\u00fargico de fraturas peritrocant\u00e9ricas com haste intramedular de f\u00eamur proximal de 2011 a 2014 em uma unidade hospitalar.<\/jats:p><jats:p>\n          Resultados\u2003A idade m\u00e9dia no momento da ocorr\u00eancia da fratura foi de 79,7 anos, e o tempo de interna\u00e7\u00e3o total m\u00e9dio foi de 16,7 dias, com m\u00e9dia de 11,3 dias at\u00e9 a cirurgia e 5,4 dias da cirurgia \u00e0 alta. A incid\u00eancia de complica\u00e7\u00f5es na interna\u00e7\u00e3o no grupo com idade\u2009\u2265\u200978,5 anos foi de 47,6%, enquanto no grupo mais novo ela foi de 19,4% (p\u2009=\u20090,013). A incid\u00eancia de complica\u00e7\u00f5es na interna\u00e7\u00e3o no grupo que fez a cirurgia ap\u00f3s 6 dias foi significativamente maior (42,9%; p\u2009=\u20090,019). Observou-se tamb\u00e9m que a incid\u00eancia de complica\u00e7\u00e3o na interna\u00e7\u00e3o est\u00e1 significativamente associada ao risco cir\u00fargico de grau\u2009\u2265\u20093 (p\u2009=\u20090,001) e \u00e0 diabetes mellitus (p\u2009=\u20090,001).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003As complica\u00e7\u00f5es relacionadas \u00e0s fraturas peritrocant\u00e9ricas est\u00e3o significativamente associadas ao risco cir\u00fargico elevado (graus 3 e 4), diabetes mellitus, idade (&gt;\u200978,5 anos) e tempo de interna\u00e7\u00e3o pr\u00e9-operat\u00f3rio prolongado (&gt;\u20096 dias).<\/jats:p>","DOI":"10.1016\/j.rbo.2018.04.006","type":"journal-article","created":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T08:42:26Z","timestamp":1526892146000},"page":"396-401","source":"Crossref","is-referenced-by-count":0,"title":["An\u00e1lise da morbimortalidade dos pacientes com fraturas peritrocant\u00e9ricas tratadas cirurgicamente com haste intramedular de f\u00eamur proximal"],"prefix":"10.1055","volume":"54","author":[{"given":"Sidney","family":"Quintas","sequence":"additional","affiliation":[{"name":"Hospital Naval Marc\u00edlio Dias, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Charlab","sequence":"additional","affiliation":[{"name":"Hospital Naval Marc\u00edlio Dias, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Ramos","sequence":"additional","affiliation":[{"name":"Universidade Federal do Estado do Rio de Janeiro (Unirio), Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7527-969X","authenticated-orcid":false,"given":"Henrique","family":"Mansur","sequence":"additional","affiliation":[{"name":"Hospital de For\u00e7a A\u00e9rea de Bras\u00edlia, Bras\u00edlia, DF, Brasil"},{"name":"Universidade Federal do Estado do Rio de Janeiro (Unirio), Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"year":"2013","series-title":"Fraturas em adultos de Rockwood e Green.","author":"Bucholz","key":"10.1016\/j.rbo.2018.04.006_bib0105"},{"year":"2013","series-title":"Campbell's Opertive Orthopaedics","author":"Canale","key":"10.1016\/j.rbo.2018.04.006_bib0110"},{"year":"2009","series-title":"Ortopedia e Traumatologia: Princ\u00edpios e Pr\u00e1tica","author":"Hebert","key":"10.1016\/j.rbo.2018.04.006_bib0115"},{"year":"2012","series-title":"Cl\u00ednica Ortop\u00e9dica","author":"Barros Filho","key":"10.1016\/j.rbo.2018.04.006_bib0120"},{"issue":"348","key":"10.1016\/j.rbo.2018.04.006_bib0125","first-page":"87","article-title":"Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures","author":"Baumgaertner","year":"1998","journal-title":"Clin Orthop Related Res."},{"year":"2009","series-title":"Princ\u00edpios AO do tratamento de fraturas","author":"R\u00fcedi","key":"10.1016\/j.rbo.2018.04.006_bib0130"},{"issue":"11","key":"10.1016\/j.rbo.2018.04.006_bib0135","doi-asserted-by":"crossref","first-page":"3218","DOI":"10.1007\/s11999-010-1756-z","article-title":"Effects of delayed hip fracture surgery on mortality and morbidity in elderly patients","volume":"469","author":"Fernandez","year":"2011","journal-title":"Clin Orthop Relat Res."},{"issue":"4","key":"10.1016\/j.rbo.2018.04.006_bib0140","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1590\/S1413-78522004000400008","article-title":"Estudo da mortalidade na fratura do f\u00eamur proximal em idosos","volume":"12","author":"Sakaki","year":"2004","journal-title":"Acta Ortop Bras."},{"year":"2009","series-title":"Epidemiologia","author":"Medronho","key":"10.1016\/j.rbo.2018.04.006_bib0145"},{"year":"2004","series-title":"Princ\u00edpios de Bioestat\u00edstica","author":"Pagano","key":"10.1016\/j.rbo.2018.04.006_bib0150"},{"issue":"4","key":"10.1016\/j.rbo.2018.04.006_bib0155","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1590\/S0102-36162011000400006","article-title":"Avalia\u00e7\u00e3o prospectiva da evolu\u00e7\u00e3o cl\u00ednica, radiogr\u00e1fica e funcional do tratamento das fraturas trocant\u00e9ricas inst\u00e1veis do f\u00eamur com haste cefalomedular","volume":"46","author":"Borger","year":"2011","journal-title":"Rev Bras Ortop."},{"issue":"4","key":"10.1016\/j.rbo.2018.04.006_bib0160","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.rbo.2014.07.014","article-title":"Epidemiologia das fraturas do ter\u00e7o proximal do f\u00eamur em pacientes idosos","volume":"50","author":"Daniachi","year":"2015","journal-title":"Rev Bras Ortop."},{"issue":"3","key":"10.1016\/j.rbo.2018.04.006_bib0165","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1007\/BF03016088","article-title":"Is operative delay associated with increased mortality of hip fracture patients? 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