Avaliação cognitiva de uma população de idosos internados por fratura proximal do fêmur decorrente de queda

by de Ávila, Karine Noronha

Introduction: Researches have shown a strong relationship between falls, fractures and dementia. The present study intent to avaliate the cognitive functions in an old population hospitalized in an orthopedic public hospital located in Porto Alegre to treat proximal femural fractures associated to fall. Methodology: To develop an unpareated case-control including 151 cases and 206 controls, in aged patients over 60 years. In an attempt to investigate cognitive deficit the Clinical Dementia Rating (CDR) and the Evaluation of the Activities of Daily Life had been used, the Katz index. Results: It was identified risk factors for falls associated to proximal femural fractures the advanced age, the female patients, the osteomuscular diseases, the total CDR score above 0,5, two and three. The individuals with a total CDR score two or three presented 4,33 times more chance to fracture their femur during a fall in comparation to a normal patients. Final Considerations: The moderate and severe cases of dementia present a serious risk for fall followed by fractures.