年龄对股骨近端骨折延迟手术治疗的影响。
Influence of age on delayed surgical treatment of proximal femoral fractures.
作者信息
Gomes Lisiane Pinto, do Nascimento Leandra Delfim, Campos Tulio Vinicius de Oliveira, Paiva Edson Barreto, de Andrade Marco Antonio Percope, Guimarães Henrique Cerqueira
机构信息
Universidade Federal de Minas Gerais, Multi-professional Residency in Elderly Health, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais, Faculdade de Medicina, Department of the Locomotor System, Belo Horizonte, MG, Brazil; Universidade Federal de Minas Gerais, Hospital Risoleta Tolentino Neves, Belo Horizonte, MG, Brazil.
出版信息
Acta Ortop Bras. 2015 Nov-Dec;23(6):315-8. doi: 10.1590/1413-785220152306149049.
OBJECTIVE
: To investigate the influence of patients' age on the delay between diagnosis and surgical treatment of proximal femoral fractures.
METHODS
: This is a retrospective study, con-ducted at a tertiary university hospital, including all patients admitted with proximal femoral fractures between March 2013 and March 2014. The participants were categorized into four groups according to age levels. The groups were compared according to demographics, comorbidities, fracture type, trau-ma circumstances, and time between diagnosis and surgical procedure.
RESULTS
: One hundred and sixty one patients were included, 37 adults and 124 elderly. Among adults, the mean delay between diagnosis and surgical procedure was 6.4±5.3 days; among elderly the delay was 9.5±7.6 days. There was a progressive increase in the delay from the young-adults group through the elderly individuals (Kruskal-Wallis: 13.7; p=0.003).
CONCLUSION
: In spite of being the patients most susceptible to complications due to surgical delay, the elderly individuals pre-sented the longest delays from admission to surgical treatment. Level of Evidence III, Retrospective Study.
目的
探讨患者年龄对股骨近端骨折诊断与手术治疗间隔时间的影响。
方法
这是一项在三级大学医院进行的回顾性研究，纳入了2013年3月至2014年3月期间所有因股骨近端骨折入院的患者。根据年龄水平将参与者分为四组。根据人口统计学、合并症、骨折类型、创伤情况以及诊断与手术之间的时间对各组进行比较。
结果
共纳入161例患者，其中37例为成年人，124例为老年人。成年人诊断与手术之间的平均间隔时间为6.4±5.3天；老年人为9.5±7.6天。从青年组到老年组，间隔时间逐渐增加（Kruskal-Wallis检验：13.7；p=0.003）。
结论
尽管老年人因手术延迟最易发生并发症，但从入院到手术治疗的间隔时间却是最长的。证据等级III，回顾性研究。
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