<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022022000200071</article-id>
<article-id pub-id-type="doi">10.35366/108120</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estado funcional y mortalidad en el adulto mayor a tres meses de la fractura de cadera: cuando los recursos son limitados]]></article-title>
<article-title xml:lang="en"><![CDATA[Functional status and mortality in the elderly 3 months after hip fracture: when resources are limited]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras-Alvarado]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barragán-Berlanga]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintanilla-Rodríguez]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zelaya-Castrejón]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Tecnológico de Monterrey Hospital San José ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Tecnológico de Monterrey  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Tecnológico de Monterrey  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Tecnológico de Monterrey Escuela de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>71</fpage>
<lpage>78</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022022000200071&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022022000200071&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022022000200071&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La fractura de cadera es la más común en el adulto mayor y tiene gran impacto negativo en funcionalidad, calidad y sobrevida. En México la infraestructura, recursos y programas para su atención son escasos. Los factores asociados, mejor pronóstico funcional y de vida han sido descritos de forma heterogénea. El objetivo principal del estudio fue determinar los factores asociados con mayor recuperación funcional y menor mortalidad a tres meses de la fractura de cadera en el adulto mayor.  Material y métodos:  Se realizó valoración geriátrica integral a todos los pacientes mayores hospitalizados por fractura de cadera. Se dio seguimiento telefónico a tres meses del egreso hospitalario para revaloración de funcionalidad. Se interrogó sobrevida, escala de Barthel y FAC. Se realizó un análisis descriptivo de las variables. Para la valoración de desenlaces se hizo análisis univariado, ya que los datos no presentaron una distribución normal. Se incluyó edad y Barthel previo a fractura en un modelo de regresión lineal para valorar impacto en mortalidad y deambulación.  Resultados:  La mortalidad a tres meses fue de 26.3%, con hiponatremia intrahospitalaria como factor de riesgo (OR, 3.87, p = 0.03). La mediana de diferencia en puntaje de Barthel preoperatorio y postoperatorio fue -25 puntos (-50-10). Las variables asociadas a un peor desenlace funcional fue el miedo a volver a caminar (p = 0.05) y deterioro cognitivo (p = 0.032). De los pacientes, 47.4% lograba deambular, la mayoría clasificados con FAC 4; 28% de los pacientes no lograron deambulación. Vivir en urbanidad, el miedo a volver a caminar (OR, 4.83, p = 0.031) y un tamizaje positivo para malnutrición (OR, 5.52, p = 0.016) se asociaron a mayor incapacidad.  Conclusiones:  Es importante la intervención multifactorial para lograr mejores resultados funcionales y de sobrevida tres meses posteriores a la fractura de cadera.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Hip fracture is the most common fracture in the elderly and its negative impact in functionality, life quality and expectancy are widely described. In Mexico, resources, infrastructure and programs for its attention are few and deficient. Associated factors to a better functional and life prognosis had been described in heterogeneous ways. The main objective of this work is to determine the associated factors to a better functional recovery and less mortality three months after hip fracture in the elderly.  Material and methods:  Geriatric assessment was performed in all older adult patients admitted to the hospital with hip fracture. Telephone monitoring was done three months after hospital discharge. Survival, Barthel index, and March Capacity Evaluation Scale (FAC) was interrogated. Descriptive analysis of the variables was performed. For outcomes measures, univariate analysis was done, since data didn&#8217;t have normal distribution. Age and Barthel index before fracture were included in linear regression model to evaluate impact over mortality and march capacity.  Results:  Three-month mortality was of 26.3% of the patients, with in- hospital hyponatremia as a risk factor (OR, 3.87, p = 0.03). The median difference in pre fracture and post fracture Barthel index was -25 points (-50-10). The variables associated with worse functional outcome was patient´s expressed fear to walk again (p = 0.05) and cognitive impairment (p = 0.032). 47.4% of the patients could walk, most of them classified in FAC 4. 28% of the patients, reported walking impairment. Living in urbanity, fear to walk (OR, 4.83, p = 0.031) and malnutrition (OR, 5.52, p = 0.016) were significantly associated with walking impairment.  Conclusions:  Multifactorial intervention for better functional and survival outcomes three-months after hip fracture are needed, even more in middle-income countries.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fractura]]></kwd>
<kwd lng="es"><![CDATA[cadera]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[funcionalidad]]></kwd>
<kwd lng="es"><![CDATA[recuperación]]></kwd>
<kwd lng="en"><![CDATA[fracture]]></kwd>
<kwd lng="en"><![CDATA[hip]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[functionality]]></kwd>
<kwd lng="en"><![CDATA[recovery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alexiou]]></surname>
<given-names><![CDATA[KI]]></given-names>
</name>
<name>
<surname><![CDATA[Roushias]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Varitimidis]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Malizos]]></surname>
<given-names><![CDATA[KN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of life and psychological consequences in elderly patients after a hip fracture: a review]]></article-title>
<source><![CDATA[Clin Interv Aging]]></source>
<year>2018</year>
<volume>13</volume>
<page-range>143-50</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gullberg]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Johnell]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Kanis]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[World-wide projections for hip fracture]]></article-title>
<source><![CDATA[Osteoporos Int]]></source>
<year>1997</year>
<volume>7</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>407-13</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<collab>Foundation IO</collab>
<source><![CDATA[]]></source>
<year>2012</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tarazona-Santabalbina]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Belenguer-Varea]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rovira]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cuesta-Peredó]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orthogeriatric care: improving patient outcomes]]></article-title>
<source><![CDATA[Clin Interv Aging]]></source>
<year>2016</year>
<volume>11</volume>
<page-range>843-56</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Johnell]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Kanis]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An estimate of the worldwide prevalence, mortality and disability associated with hip fracture]]></article-title>
<source><![CDATA[Osteoporos Int]]></source>
<year>2004</year>
<volume>15</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>897-902</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turkmen]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Ozcan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Osteosarcopenia increases hip fracture risk: a case-controlled study in the elderly]]></article-title>
<source><![CDATA[J Back Musculoskelet Rehabil]]></source>
<year>2019</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>613-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cederholm]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz-Jentoft]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Maggi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sarcopenia and fragility fractures]]></article-title>
<source><![CDATA[Eur J Phys Rehabil Med]]></source>
<year>2013</year>
<volume>49</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>111-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reginster]]></surname>
<given-names><![CDATA[JY]]></given-names>
</name>
<name>
<surname><![CDATA[Beaudart]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Buckinx]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bruyere]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Osteoporosis and sarcopenia: two diseases or one?]]></article-title>
<source><![CDATA[Curr Opin Clin Nutr Metab Care]]></source>
<year>2016</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cruz-Jentoft]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Bahat]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Boirie]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Bruyere]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Cederholm]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sarcopenia: revised European consensus on definition and diagnosis]]></article-title>
<source><![CDATA[Age Ageing]]></source>
<year>2019</year>
<volume>48</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>601</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dyer]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Crotty]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fairhall]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Magaziner]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Beaupre]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Cameron]]></surname>
<given-names><![CDATA[ID]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A critical review of the long-term disability outcomes following hip fracture]]></article-title>
<source><![CDATA[BMC Geriatr]]></source>
<year>2016</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>158</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sabharwal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orthogeriatrics in the management of frail older patients with a fragility fracture]]></article-title>
<source><![CDATA[Osteoporos Int]]></source>
<year>2015</year>
<volume>26</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>2387-99</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González-Montalvo]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
<name>
<surname><![CDATA[Alarcón Alarcón]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orthogeriatrics in acute patients: to act, but also assess and compare as a way to improve]]></article-title>
<source><![CDATA[Rev Esp Geriatr Gerontol]]></source>
<year>2014</year>
<volume>49</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>101-2</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Rui]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Veronese]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Manzato]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sergi]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Role of comprehensive geriatric assessment in the management of osteoporotic hip fracture in the elderly: an overview]]></article-title>
<source><![CDATA[Disabil Rehabil]]></source>
<year>2013</year>
<volume>35</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>758-65</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vergara]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Vrotsou]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Orive]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factors related to functional prognosis in elderly patients after accidental hip fractures: a prospective cohort study]]></article-title>
<source><![CDATA[BMC Geriatr]]></source>
<year>2014</year>
<volume>14</volume>
<page-range>124</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grigoryan]]></surname>
<given-names><![CDATA[KV]]></given-names>
</name>
<name>
<surname><![CDATA[Javedan]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Rudolph]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2014</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>e49-55</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ko]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pre- and perioperative risk factors of post hip fracture surgery walking failure in the elderly]]></article-title>
<source><![CDATA[Geriatr Orthop Surg Rehabil]]></source>
<year>2019</year>
<volume>10</volume>
<page-range>2151459319853463</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barceló]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Francia]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Casademont]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[OH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hip fractures in the oldest old. Comparative study of centenarians and nonagenarians and mortality risk factors]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2018</year>
<volume>49</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>2198-202</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
