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改良POSSUM评分系统在老年髋部骨折手术风险评估中的应用价值

刘莉君 严光 顾辨辨 孙梦雯 彭云飞 吴侃

中国临床保健杂志2018,Vol.21Issue(1):114-116,3.
中国临床保健杂志2018,Vol.21Issue(1):114-116,3.DOI:10.3969/J.issn.1672-6790.2018.01.032

改良POSSUM评分系统在老年髋部骨折手术风险评估中的应用价值

Effect of P-POSSUM and POSSUM scoring on operative risk assessment of geriatric hip fracture

刘莉君 1严光 1顾辨辨 1孙梦雯 1彭云飞 1吴侃2

作者信息

  • 1. 安徽医科大学附属省立医院、安徽省立医院,老年医学科,合肥230001
  • 2. 安徽医科大学附属省立医院、安徽省立医院,骨科,合肥230001
  • 折叠

摘要

Abstract

Objective To explore the accuracy of P-POSSUM on mortality projection and operative complica-tions of geriatric hip fracture surgery.Methods 102 over 60-year-old inpatients with hip fracture were evaluated by P-POSSUM and POSSUM scoring to calculate rate of complications and mortality.and the actual incidence of complica-tion and mortality were observation.Results There were 22 cases of complications and 6 cases of death according to P-POSSUM,and there were 25 cases of complications and 4 case of death actually.There is no significant difference be-tween the predicted value and the actual value.There were 31 cases of complications according to POSSUM,and there was no significant difference between the predicted value and the actual value.There will be 15 cases of death according to POSSUM,but there was 4 case of death actually.The predicated value was higher than the actual value.Conclusion P-POSSUM have a better predictive ability for hip fracture surgery in the elderly aged over 60 years,and the POSSUM o-verestimates the mortality rate.

关键词

髋骨折/健康状况指标/老年人

Key words

Hip fractures/Health status indicators/Aged

分类

医药卫生

引用本文复制引用

刘莉君,严光,顾辨辨,孙梦雯,彭云飞,吴侃..改良POSSUM评分系统在老年髋部骨折手术风险评估中的应用价值[J].中国临床保健杂志,2018,21(1):114-116,3.

基金项目

安徽省科技厅公益性技术应用研究联动计划项目(15011d04019) (15011d04019)

中国临床保健杂志

OACSTPCD

1672-6790

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