PROXIMAL FEMUR FRACTURES IN THE ELDERLY: IMPACT OF ANATOMICAL LOCATION AND PRE-EXISTING COMORBIDITIES ON CLINICAL OUTCOMES IN A TERTIARY HOSPITAL IN WESTERN PARANÁ (2020-2025)

Abstract

This article aimed to analyze the association between the anatomical location of proximal femur fractures (PFF), pre-existing comorbidities, and clinical outcomes in elderly patients treated at a tertiary hospital in Western Paraná. This is an observational, retrospective, descriptive, and analytical study with a quantitative approach, based on a retrospective survey of medical records of patients aged 60 years or older, hospitalized with PFF between 2020 and 2025. The epidemiological profile, fracture classification by location (femoral neck, intertrochanteric, and subtrochanteric), the most prevalent comorbidities — such as systemic arterial hypertension, type 2 diabetes mellitus, and neurological disorders — and their correlation with mortality, length of hospital stay, complications, and treatment modalities were analyzed. The results showed relevant differences among fracture types regarding stability, surgical risk, and prognosis, highlighting the most vulnerable groups within the elderly population studied. It is concluded that the identification of these patterns may support targeted clinical practices, optimize surgical management, guide early rehabilitation programs, and contribute to comprehensive elderly health care policies, reducing the morbidity and mortality associated with PFF.