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The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures *

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Objective  To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity… Click to show full abstract

Objective  To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. Methods  A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone. Results  The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. The mortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality ( p  = 0.515). High levels of serum creatinine ( p  = 0.001) and age ( p  = 0.000) were directly associated with death. Conclusion  The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.

Keywords: lee score; femur fractures; patients proximal; proximal femur; mortality; relationship lee

Journal Title: Revista Brasileira de Ortopedia
Year Published: 2019

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