Kruczyński Jacek, Górska Joanna, Futyma Jacek, Zurawski Rafał, Banach Wojciech
Department of Orthopaedics and Musculoskeletal Traumatology, University Hospital, Bydgoszcz, Poland.
Ortop Traumatol Rehabil. 2008 Jul-Aug;10(4):338-49.
The number of people living more than 90 years is increasing. This population is at high risk of osteoporotic hip fracture and the rates of a good outcome after surgical treatment are lower than in younger patients. The aim of this study was to evaluate psychophysical status and survival time following hip fracture surgery in nonagenarians.
Forty-two nonagenarian patients included in the study were assessed retrospectively using our own 16-point scale. Evaluation was made on several occasions: prior to injury, at discharge from the hospital and during a follow-up examination, at least 6 months after surgery. Medical data were obtained from medical records and from telephone information given by patients, their family members, carers or social welfare employees. Statistical analyses were performed using average point values and standard deviations.
48% of the operated patients died within 1-9 months after surgery. Considerable deterioration of psychophysical status following surgery was reported for 24% of patients.
Operative treatment in patients 90 years of age and over with hip fractures was associated with a good outcome, i.e. the recovery of psychophysical status comparable to that prior to the injury, only in 36% of the patients.
90岁以上的老年人口数量正在增加。这一人群发生骨质疏松性髋部骨折的风险很高，且手术治疗后的良好预后率低于年轻患者。本研究的目的是评估非agenarians髋部骨折手术后的心理生理状态和生存时间。
本研究纳入的42例非agenarians患者采用我们自己的16分制进行回顾性评估。在几个时间点进行评估：受伤前、出院时以及术后至少6个月的随访检查期间。医疗数据从医疗记录以及患者、其家庭成员、护理人员或社会福利工作人员提供的电话信息中获取。使用平均值和标准差进行统计分析。
48%的手术患者在术后1 - 9个月内死亡。24%的患者报告术后心理生理状态有相当大的恶化。
90岁及以上髋部骨折患者的手术治疗仅在36%的患者中取得了良好的结果，即心理生理状态恢复到与受伤前相当的水平。
