Dubey A, Aharonoff G B, Zuckerman J D, Koval K J
Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York, New York 10003, USA.
Bull Hosp Jt Dis. 2000;59(2):94-8.
Recent studies have suggested that patients with a history of diabetes undergoing hip fracture stabilization have higher rates of morbidity and mortality as well as poorer functional results than control groups of non-diabetics. This study was performed to evaluate the effect of diabetes on patient outcome after hip fracture. Between July 1987 and December 1996, 849 community dwelling elderly who sustained an operatively treated hip fracture were prospectively followed to determine the effect of diabetes on patient outcome. The predictor variable was the presence or absence of diabetes mellitus. Ninety-three patients (11%) had a history of diabetes. Diabetic patients were more dependent in activities of daily living and ambulation prior to hip fracture. The presence of diabetes mellitus also increased the likelihood of a patient dying during hospitalization, but had no effect on recovery of ambulatory ability or activities of daily living. Although diabetic patients have increased in-hospital mortality when compared to non-diabetic patients, patients with diabetes are just as likely to recover pre-fracture functional status as non-diabetic patients.
近期研究表明，有糖尿病史的患者在接受髋部骨折固定术后，与非糖尿病对照组相比，其发病率和死亡率更高，功能恢复结果也更差。本研究旨在评估糖尿病对髋部骨折患者预后的影响。在1987年7月至1996年12月期间，对849名接受手术治疗髋部骨折的社区老年居民进行了前瞻性随访，以确定糖尿病对患者预后的影响。预测变量为是否患有糖尿病。93名患者（11%）有糖尿病史。糖尿病患者在髋部骨折前日常生活活动和行走方面更依赖他人。糖尿病的存在也增加了患者住院期间死亡的可能性，但对行走能力或日常生活活动的恢复没有影响。尽管与非糖尿病患者相比，糖尿病患者的住院死亡率有所增加，但糖尿病患者恢复骨折前功能状态的可能性与非糖尿病患者相同。
