Tang Chao, Fu Shi-Ping
Department of Orthopaedics, the 8th People's Hospital of Shanghai, Shanghai 200235, China.
Department of Orthopaedics, the 8th People's Hospital of Shanghai, Shanghai 200235, China;
Zhongguo Gu Shang. 2017 Jul 25;30(7):602-606. doi: 10.3969/j.issn.1003-0034.2017.07.004.
To evaluate the effect of surgical timing of intertrochanteric fracture on 1-year postoperative mortality in elderly and analyze factors that influence 1-year postoperative mortality.
A retrospective search had been conducted to analyze 350 patients of intertrochanteric fracture from December 2012 to December 2014. The studied patients were divided into three groups such as the group of <72 h and the group of 72-96 h and the group of >96 h, which depended on the time of injury to surgery. The postoperative mortality was compared among the groups and causes of death in patients were evaluated after surgery. Multiple logistic regression was then used to distinguish independent effects on mortality.
The one-year postoperative mortality of three groups(<72h, 72-96 h, >96 h)were significantly different and the rate of death was 1.8%, 8.1%, 10.3%. The one-year postoperative mortality of the group of <72 h was inferior to the group of 72-96 h and >96 h respectively(<0.05). Age, preoperative coexist disease and surgical timing were dependent risk factors to one-year postoperative mortality(<0.05, OR>1).
The early surgery can diminish one year postoperative mortality, the patient who is older and has too many preoperative coexist diseases and is delayed to surgery has higher risk to die in one year after surgery.
评估股骨转子间骨折手术时机对老年患者术后1年死亡率的影响，并分析影响术后1年死亡率的因素。
回顾性分析2012年12月至2014年12月间350例股骨转子间骨折患者。根据受伤至手术的时间，将研究对象分为<72小时组、72 - 96小时组和>96小时组。比较各组术后死亡率，并评估术后患者的死亡原因。然后采用多因素logistic回归分析确定对死亡率的独立影响因素。
三组（<72小时组、72 - 96小时组、>96小时组）术后1年死亡率有显著差异，死亡率分别为1.8%、8.1%、10.3%。<72小时组术后1年死亡率分别低于72 - 96小时组和>96小时组（<0.05）。年龄、术前并存疾病及手术时机是术后1年死亡的独立危险因素（<0.05，OR>1）。
早期手术可降低术后一年死亡率，年龄较大、术前并存疾病较多且手术延迟的患者术后1年死亡风险较高。
