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Analysis of intensive care unit admissions for older adults with femoral fractures: a retrospective cohort.
Cobra, Carolina Rodrigues Mendes Nogueira; Garcia, Paulo Carlos; Passos, Isadora Castilho Moreira de Oliveira; Rocha, Greiciane da Silva; Nogueira, Lilia de Souza.
Afiliación
  • Cobra CRMN; Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
  • Garcia PC; Universidade de São Paulo, Hospital Universitário, São Paulo, SP, Brazil.
  • Passos ICMO; Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
  • Rocha GDS; Universidade Federal do Acre, Centro de Ciências da Saúde e do Desporto, Rio Branco, AC, Brazil.
  • Nogueira LS; Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
Rev Esc Enferm USP ; 58: e20230398, 2024.
Article en En, Pt | MEDLINE | ID: mdl-39101809
ABSTRACT

OBJECTIVES:

To describe the historical series of admissions to the Intensive Care Unit of older adults with femoral fractures, and verify the association between age and injury characteristics and treatment, nursing workload, severity, and clinical evolution in the unit.

METHOD:

Retrospective cohort of 295 older adults (age ≥60 years) admitted to the Intensive Care Unit of a hospital in São Paulo, between 2013 and 2019, and who presented with a femur fracture as the main cause of hospitalization. Variables regarding demographic characteristics, cause, and type of fracture, treatment provided, severity, nursing workload, and medical outcome of patients were analyzed. The Shapiro-Wilk, Wilcoxon-Mann-Whitney, Kruskal-Wallis tests and Pearson correlation were applied.

RESULTS:

There was an increase in older adults admission to the Intensive Care Unit from 2017 on. Female patients with distal femur fractures who died in the Intensive Care Unit had significantly (p < 0.05) higher median age than men, patients with shaft or proximal femur fractures, and survivors.

CONCLUSION:

The study findings highlight essential information for structuring care for older adults with femoral fractures who require intensive care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas del Fémur / Unidades de Cuidados Intensivos Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Esc Enferm USP Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas del Fémur / Unidades de Cuidados Intensivos Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Esc Enferm USP Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil