Sociodemographic determinants of intertrochanteric hip fractures in older adults: Evidence from a six-year retrospective study in an Ecuadorian hospital - Summary - MDSpire
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Sociodemographic determinants of intertrochanteric hip fractures in older adults: Evidence from a six-year retrospective study in an Ecuadorian hospital
To describe the epidemiological profile and clinical outcomes of patients with intertrochanteric fractures treated at a referral center.
Key Findings:
65.7% of patients were women, with 50% in the oldest-old subgroup.
Predominant mechanism of injury was falls from standing height.
67.1% of fractures were unstable Tronzo patterns.
Cephalomedullary nailing was the primary surgical treatment in approximately 88% of cases.
Median preoperative hospital stay was 5 days; total hospital stay was 8 days.
In-hospital mortality rate was low at 2.3%.
Interpretation:
Intertrochanteric fractures predominantly affect older women following low-energy falls, with treatment patterns aligning with international standards.
Limitations:
Study limited to a single referral center in Ecuador.
Retrospective design may introduce bias.
Conclusion:
Optimizing preoperative timelines and strengthening preventive strategies in older adults are necessary to improve outcomes.
