Tampere University Central Hospital, Tampere, Finland.
Scand J Surg. 2009;98(3):180-8. doi: 10.1177/145749690909800310.
Our aim was to describe the incidence of cervical hip fractures and to describe the relationships between selected background variables and mortality at 30 days, 6 months, and 3 years postoperatively.
The basic material consisted of population-based data set of patients aged 65 years or older who had sustained a hip fracture and were treated operatively between 1999 and 2000. Out of these, we identified 266 consecutive patients with cervical hip fracture.
The age-adjusted incidence of cervical hip fractures in women was 1.3-fold compared to men. In age-adjusted analysis, occurrence of chronic lung disease, cardiovascular disease or 2-5 comorbidities, male gender, the need for 2-person mobility assistance, and poor ambulation postoperatively were associated with excess mortality at least at one evaluation point.
Only chronic lung disease and male gender were independent predictors of increased mortality at each follow-up assessment in multivariate analysis.
我们旨在描述颈椎髋部骨折的发生率，并描述选定背景变量与术后 30 天、6 个月和 3 年时死亡率之间的关系。
基本资料包括年龄在 65 岁及以上、接受手术治疗的髋部骨折患者的基于人群的数据集。在这些患者中，我们确定了 266 例连续的颈椎髋部骨折患者。
女性颈椎髋部骨折的年龄调整发生率是男性的 1.3 倍。在年龄调整分析中，慢性肺部疾病、心血管疾病或 2-5 种合并症、男性、需要 2 人协助移动以及术后活动能力差与至少一个评估点的死亡率过高相关。
只有慢性肺部疾病和男性是多变量分析中每个随访评估中死亡率增加的独立预测因素。
