Evidence map›Paper›PMID 31722793›Full record

Observational studyBrazilian journal of anesthesiology (Elsevier)

[Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study].

Talita de Almeida Barbosa, André Moreira Fogaça de Souza, Fábio Caetano Oliveira Leme, Letícia Dalla Vecchia Grassi, Fabio Bussolan Cintra, Rodrigo Moreira E Lima, David Nicoletti Gumieiro, Lais Helena Navarro E Lima

Registry-linked trialOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07358299 (A Comparison of Haemodynamic Effects, as Assessed by Cardiac Output Monitoring, and Complications of Continuous Versus Single-Shot Spinal Anaesthesia for Hip-Fracture Surgery in Patients Over 50 Years of Age), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07358299 phase4not yet recruitingnot on this map

A Comparison of Haemodynamic Effects, as Assessed by Cardiac Output Monitoring, and Complications of Continuous Versus Single-Shot Spinal Anaesthesia for Hip-Fracture Surgery in Patients Over 50 Years of Age

TypeinterventionalSponsorCentre of Postgraduate Medical EducationRan2026 to 2029Enrolled216ConditionsAnesthesia, Spinal, Hip FracturesArmsBupivacaine Spinal 0,5% Heavy - bolus, Bupivacaine Spinal 0,5% Heavy - titration
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Complication patterns and postoperative outcomes in surgical patients admitted to intensive care units.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025
    Article
  5. Mortality in orthopedic patients: a retrospective review of 333 medical records.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Mortality-Related Risk Factors in Geriatric Patients with Hip Fracture.Annals of geriatric medicine and research · 2023
    Article
  10. Mortality and morbidity following operative management of tibial shaft fractures in octogenarians.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  11. Morbidity and Mortality After Surgical Management of Tibial Plateau Fractures in Octogenarians.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Talita de Almeida BarbosaUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu, SP, Brasil; Cooperativa dos Anestesiologistas de Ribeirão Preto, Ribeirão Preto, SP, Brasil. Electronic address: talita_ab1@hotmail.com.
André Moreira Fogaça de SouzaUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Graduação em Medicina, Botucatu, SP, Brasil.
Fábio Caetano Oliveira LemeUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu, SP, Brasil.
Letícia Dalla Vecchia GrassiUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Graduação em Medicina, Botucatu, SP, Brasil.
Fabio Bussolan CintraSanta Casa de São Carlos, São Carlos, SP, Brasil.
Rodrigo Moreira E LimaUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Serviço de Anestesiologia, Botucatu, SP, Brasil.
David Nicoletti GumieiroUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Departamento de Cirurgia e Ortopedia, Botucatu, SP, Brasil.
Lais Helena Navarro E LimaUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Departamento de Anestesiologia, Botucatu, SP, Brasil.
Universidade Estadual Paulista (Unesp) · BRSanta Casa de Misericórdia de São Carlos · BRUniversidade de Ribeirão Preto · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPerioperative management of femoral fractures in elderly patients has been studied to determine modifiable causes of complications and death. The aim of this study was to evaluate the mortality rate and its causes in the elderly population with FF. We also evaluated perioperative complications and their association with postoperative mortality.

methodIn this prospective and observational study, we evaluated 182 patients, by questionnaire and electronic medical record, from the moment of hospitalization to one year after surgery. Statistical analyzes using the multivariate Cox proportional hazards model and Kaplan-Meier curves were performed to detect independent mortality factors.

resultsFifty-six patients (30.8%) died within one year after surgery, and the main cause of death was infection followed by septic shock. The main complication, both preoperatively and postoperatively, was hydroelectrolytic disorder. For every one-unit (one-year) increase in age, the odds ratio for death increased by 4%. With each new preoperative complication, the odds ratio for death increased by 28%. Patients ASA III or IV had a 95% higher odds ratio for death than patiets ASA I or II.

conclusionsIncreasing age and number of preoperative complications, in addition to ASA classification III or IV, were independent factors of increased risk of death in the population studied. The mortality rate was 30.8%, and infection followed by septic shock was the leading cause of death.

Indexed as

AgedAged, 80 and overAge FactorsFemaleFemoral FracturesHospital MortalityHumansMalePerioperative CarePostoperative ComplicationsProspective StudiesRisk FactorsSurveys and QuestionnairesComplicações pós‐operatóriasFatores de riscoFemoral fracturesFraturas do fêmurMortalidadeMortalityPostoperative complicationsRisk factors

Identifiers

PMID31722793
PMCPMC9391847
OpenAlexW2987946826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.