局解手术学杂志Issue(1)：56-57,2.DOI:10.11659/jjssx.1672-5042.201401021
并存症对高龄髋部骨折患者手术预后的影响
Effect of comorbidities on the surgical outcomes of elderly patients with hip fracture
戴建强 1郑国栋 1张亮达 1黄显华 1许文平 1邓小玲 1夏虹1
作者信息
- 1. 广州军区广州总医院骨科重症监护病房，广东 广州510010
- 折叠
摘要
Abstract
Objective To explore the effect of comorbidities on the surgical outcomes of elderly patients with hip fracture. Methods The Age,gender,weight,type of fracture,preoperative comorbidities and surgical outcomes of 117 patients aged 80 yr or over who undergoing hip fracture surgery in our hospital were recorded. Patients were divided into rehabilitation group and postoperative in-hospital death group ac-cording to surgical outcomes. The potential predictors of postoperative in-hospital death were identified by univariate model and were then entered into multiple Logistic regression analysis. Results Twenty three patients(19. 7%)had no comorbidity,94 patients(80. 3%)had one or more comorbidities. Ten patients(8. 5%)died in hospital after the operation. Predictors of postoperative in-hospital death were preoperative respiratory diseases and three or more comorbidities. Conclusion Surgical outcomes of elderly patients with hip fracture may be predicted by analysing preoperative comorbidities. Preoperative preparations must be sufficient in order to ensure successful operation.关键词
髋部骨折/并存症/高龄患者/手术预后Key words
hip fracture/comorbidities/elderly patients/surgical outcomes分类
医药卫生引用本文复制引用
戴建强,郑国栋,张亮达,黄显华,许文平,邓小玲,夏虹..并存症对高龄髋部骨折患者手术预后的影响[J].局解手术学杂志,2014,(1):56-57,2.
