Clinical, laboratory, and hospital factors associated with preoperative complications in Peruvian older adults with hip fracture.

Abstract Objectives To determine the clinical, laboratory, and hospital factors associated with preoperative complications in older adults with hip fractures. Methodology: Analytical observational retrospective cohort study, whose population was older adults with a diagnosis of hip fracture treated in a hospital in northern Peru, during 2017–2019. Results 432 patients with a median age of 83 years (RIC: 77–88) were evaluated, with the female gender being the most prevalent (60.9%). The most common comorbidities included cardiovascular disease (68%) and diabetes (17.6%), and multimorbidity was observed in 47.2% of cases. The median number of geriatric syndromes was 2 (RIC: 1–5). The overall mortality rate was 3.2% (1.7–5.3). Analysis with Poisson regression model found a significant association with mental red cross > = 3 points RR = 4.29 (1.44–12.78), glucose on admission RR = 1.01 (1.001–1.014) and minimally significantly female sex RR = 2.36 (0.99–5.62) Conclusions The most commonly observed complications were infectious in nature, including pneumonia, sepsis, and urinary tract infections. Both mental red cross > = 3 pt, glucose on admission, and minimally female sex were found to increase the risk of developing pre-surgical complications in older adults with hip fracture. The assessment of preoperative and perioperative complications is of great importance in predicting adverse health outcomes in older adults with hip fractures.