Acta Ortop Bras. 2025 Sep 22;33(5):e290192. doi: 10.1590/1413-785220253305e290192. eCollection 2025.
ABSTRACT
OBJECTIVE: To evaluate the epidemiological profile and waiting time for osteosynthesis in patients admitted due to intertrochanteric fracture in a public hospital in the Federal District of Brazil.
METHODS: This observational, descriptive, and retrospective study involved patients over 18 years old with intertrochanteric fractures between June and December 2023. Demographic, clinical data, and information about waiting time for osteosynthesis were collected. Analyses were performed using descriptive statistics and logistic regression.
RESULTS: The majority of patients (61.4%) were female, with a mean age of 74 years. The average time between fracture and care was 3.4 days, and from fracture to osteosynthesis was 22.7 days. The mortality rate was 6.8%, with higher prevalence in elderly women with comorbidities.
CONCLUSIONS: The study demonstrates that a prolonged time between fracture and osteosynthesis is associated with worse clinical outcomes, particularly in elderly patients with comorbidities. Optimizing the waiting time for surgery is essential to reduce morbidity and mortality and improve patient recovery. Level of Evidence IV; Observational, Descriptive, and Retrospective Study.
PMID:40995507 | PMC:PMC12456894 | DOI:10.1590/1413-785220253305e290192
