Magaziner J, Simonsick E M, Kashner T M, Hebel J R, Kenzora J E
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore 21201.
Am J Public Health. 1989 Mar;79(3):274-8. doi: 10.2105/ajph.79.3.274.
Hip fracture has long been considered a major threat to survival in aged populations. This report describes the survival experience of 814 aged, community dwelling hip fracture patients treated in seven Baltimore hospitals between 1984 and 1986: 4.3 per cent died during hospitalization; 8.2, 12.6, and 17.4 per cent died within three, six, and 12 months after fracture, respectively. The mortality rate for the entire population approaches expected mortality approximately six months post-fracture, but varies by age and sex. The most important factors predicting mortality are presence of serious concomitant illness and marked delirium (in the absence of dementia) at the time of hospital admission. The authors suggest that medical factors that may contribute to patient disorientation be investigated and treated, when possible, in an effort to improve the survival status of hip fracture patients.
髋部骨折长期以来一直被视为老年人群生存的重大威胁。本报告描述了1984年至1986年间在巴尔的摩七家医院接受治疗的814名老年社区髋部骨折患者的生存情况：4.3%在住院期间死亡；骨折后三个月、六个月和十二个月内的死亡率分别为8.2%、12.6%和17.4%。整个人口的死亡率在骨折后约六个月接近预期死亡率，但因年龄和性别而异。预测死亡率的最重要因素是入院时存在严重的伴随疾病和明显的谵妄（无痴呆症）。作者建议，应尽可能调查和治疗可能导致患者迷失方向的医学因素，以努力改善髋部骨折患者的生存状况。
