{"id":123846,"date":"2025-10-23T23:32:09","date_gmt":"2025-10-23T23:32:09","guid":{"rendered":"https:\/\/www.europesays.com\/pt\/123846\/"},"modified":"2025-10-23T23:32:09","modified_gmt":"2025-10-23T23:32:09","slug":"fatores-de-risco-para-complicacoes-apos-fratura-do-quadril-em-idosos","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/pt\/123846\/","title":{"rendered":"Fatores de risco para complica\u00e7\u00f5es ap\u00f3s fratura do quadril em idosos"},"content":{"rendered":"<p>A fratura do quadril em idosos \u00e9 um evento grave com altas taxas de morbimortalidade. Embora a mortalidade tenha diminu\u00eddo nos \u00faltimos anos, o risco de complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias permanece elevado, impactando significativamente a recupera\u00e7\u00e3o e a qualidade de vida desses pacientes.\u00a0\u00a0<\/p>\n<p>Um estudo multic\u00eantrico prospectivo, publicado em setembro de 2025 no\u202fBone &amp; Joint Journal, investigou quais fatores est\u00e3o associados ao desenvolvimento dessas complica\u00e7\u00f5es.\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"1016\" height=\"571\" src=\"https:\/\/www.europesays.com\/pt\/wp-content\/uploads\/2025\/10\/Stock_Firefly_88755_widescreen_1761228810900.jpeg\" class=\"attachment-full size-full wp-post-image\" alt=\"\"  \/><\/p>\n<p><b>Qual foi o objetivo do estudo?<\/b>\u00a0<\/p>\n<p>Pesquisadores de 77 hospitais da Inglaterra, Pa\u00eds de Gales e Irlanda do Norte acompanharam 24.523 pacientes com 60 anos ou mais que sofreram fratura do quadril entre 2014 e 2021. O objetivo era identificar fatores\u202f<b>modific\u00e1veis<\/b>\u202fe\u202f<b>n\u00e3o modific\u00e1veis<\/b>\u202fassociados a complica\u00e7\u00f5es cir\u00fargicas e cl\u00ednicas gerais dentro de 120 dias ap\u00f3s a cirurgia.\u00a0<\/p>\n<p><b>Quais s\u00e3o os fatores de risco n\u00e3o modific\u00e1veis?<\/b>\u00a0<\/p>\n<p>O estudo confirmou que certas caracter\u00edsticas do paciente aumentam significativamente o risco de complica\u00e7\u00f5es:\u00a0<\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b>Idade avan\u00e7ada:<\/b>\u202fCada ano a mais de idade aumentou o risco de les\u00e3o renal aguda, necessidade de transfus\u00e3o sangu\u00ednea e infec\u00e7\u00f5es respirat\u00f3ria e urin\u00e1ria.\u00a0<\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b>Sexo masculino:<\/b>\u202fHomens tiveram maior risco de reopera\u00e7\u00e3o, infec\u00e7\u00e3o do s\u00edtio cir\u00fargico, les\u00e3o renal aguda e infec\u00e7\u00e3o respirat\u00f3ria.\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b>Comorbidades (ASA \u2265 III):<\/b>\u202fPacientes com maior comprometimento sist\u00eamico tiveram risco aumentado para diversas complica\u00e7\u00f5es, incluindo luxa\u00e7\u00e3o da pr\u00f3tese, reopera\u00e7\u00e3o e infec\u00e7\u00f5es.\u00a0<\/li>\n<\/ul>\n<p class=\"content-paywall\"><strong>Leia mais:<\/strong> <a href=\"https:\/\/portal.afya.com.br\/terapia-intensiva\/cirurgia-precoce-nas-fraturas-do-quadril-e-sobrevida-em-pacientes-anticoagulados\" rel=\"nofollow noopener\" target=\"_blank\">Cirurgia precoce nas fraturas do quadril e sobrevida em pacientes anticoagulados<\/a><\/p>\n<p><b>E os fatores modific\u00e1veis? Onde podemos intervir?<\/b>\u00a0<\/p>\n<p class=\"content-paywall\">Aqui reside a principal contribui\u00e7\u00e3o do estudo: a identifica\u00e7\u00e3o de fatores relacionados ao tratamento que podem ser alterados para melhorar os desfechos:\u00a0<\/p>\n<ol class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Segoe UI\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b>Tipo de procedimento cir\u00fargico:<\/b>\u00a0<\/li>\n<\/ol>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"2\"><b>Artroplastia Total do Quadril (ATQ)<\/b>\u202ffoi associada a um risco\u202f<b>2,4 vezes maior<\/b>\u202fde luxa\u00e7\u00e3o da pr\u00f3tese em compara\u00e7\u00e3o com a hemiartroplastia em fraturas intracapsulares.\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"2\"><b>Hastes cefalomedulares<\/b>\u202fapresentaram risco\u202f<b>4 vezes maior<\/b>\u202fde fratura peri-implante e risco\u202f<b>94% maior<\/b>\u202fde reopera\u00e7\u00e3o em compara\u00e7\u00e3o com parafusos deslizantes em fraturas extracapsulares.\u00a0<\/li>\n<\/ul>\n<p class=\"content-paywall\">2.<b> Atrasos no tratamento:<\/b>\u00a0<\/p>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"2\"><b>Cirurgia tardia (&gt; 36 horas)<\/b>\u202fap\u00f3s a admiss\u00e3o aumentou o risco de\u202f<b>infarto do mioc\u00e1rdio em 66%<\/b>.\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"2\"><b>Mobiliza\u00e7\u00e3o tardia (&gt; 24 horas)<\/b>\u202fno p\u00f3s-operat\u00f3rio foi um fator cr\u00edtico, elevando significativamente o risco de:\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2160,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[9642],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"3\">Les\u00e3o renal aguda (68%)\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2160,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[9642],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"3\">Infec\u00e7\u00e3o do trato respirat\u00f3rio inferior (96%)\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2160,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[9642],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"3\">Infec\u00e7\u00e3o do trato urin\u00e1rio (52%)\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2160,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[9642],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"3\">Infarto do mioc\u00e1rdio (105%)\u00a0<\/li>\n<\/ul>\n<p><b>Qual \u00e9 a mensagem pr\u00e1tica para os profissionais de sa\u00fade?<\/b>\u00a0<\/p>\n<p class=\"content-paywall\">Os resultados destacam a import\u00e2ncia de protocolos cl\u00ednicos \u00e1geis e decis\u00f5es cir\u00fargicas baseadas em evid\u00eancias:\u00a0<\/p>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b>Priorizar a cirurgia precoce\u202f<\/b>para reduzir complica\u00e7\u00f5es card\u00edacas.\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b>Incentivar a mobiliza\u00e7\u00e3o no primeiro dia<\/b>\u202fp\u00f3s-operat\u00f3rio \u00e9 crucial para prevenir uma cadeia de complica\u00e7\u00f5es cl\u00ednicas.\u00a0<\/li>\n<\/ul>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b>A escolha da t\u00e9cnica cir\u00fargica<\/b>\u202fdeve pesar os riscos espec\u00edficos: a hemiartroplastia pode ser mais segura que a ATQ para idosos fr\u00e1geis com fraturas intracapsulares, e parafusos deslizantes podem oferecer menor risco de reopera\u00e7\u00e3o que hastes cefalomedulares em fraturas extracapsulares.\u00a0<\/li>\n<\/ul>\n<p><b>O que podemos levar para casa?<\/b>\u00a0<\/p>\n<p class=\"content-paywall\">Este amplo estudo evidencia que, al\u00e9m das caracter\u00edsticas intr\u00ednsecas do paciente, elementos do cuidado m\u00e9dico \u2013 como timing cir\u00fargico, mobiliza\u00e7\u00e3o precoce e sele\u00e7\u00e3o da t\u00e9cnica operat\u00f3ria \u2013 t\u00eam impacto profundo na recupera\u00e7\u00e3o do idoso com fratura de quadril. A identifica\u00e7\u00e3o desses fatores modific\u00e1veis oferece um caminho claro para reduzir complica\u00e7\u00f5es e melhorar a qualidade do cuidado prestado a essa popula\u00e7\u00e3o vulner\u00e1vel.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"A fratura do quadril em idosos \u00e9 um evento grave com altas taxas de morbimortalidade. Embora a mortalidade&hellip;\n","protected":false},"author":2,"featured_media":123847,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[116,32,33,117],"class_list":{"0":"post-123846","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saude","8":"tag-health","9":"tag-portugal","10":"tag-pt","11":"tag-saude"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@pt\/115426095697568416","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts\/123846","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/comments?post=123846"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts\/123846\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/media\/123847"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/media?parent=123846"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/categories?post=123846"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/tags?post=123846"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}