Baggio Marcelo, Oliveira Daniel Teixeira de, Locks Renato
Hospital Regional de São José Dr. Homero de Miranda Gomes, São José, SC, Brasil.
Cirurgia do Joelho, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 Jul;54(4):382-386. doi: 10.1055/s-0039-1693667. Epub 2019 Aug 20.
This study aims to evaluate the laboratory results profile of elderly patients with proximal femoral fractures and to verify the relationship between these data, fracture outcome and death. Cross-sectional study of patients admitted to the orthopedic emergency service of a referral hospital between February and April 2017 with proximal femoral fracture by low energy mechanism and submitted to laboratorial and imaging tests. Patients with suspected or confirmed pathological fracture were excluded from the study. Sixty-six individuals were evaluated, 44 of whom were women, all over 60 years old. Transtrochanteric fractures had the highest incidence in the study (36). Alterations of parathyroid hormone and albumin levels were significant for death ( ≤ 0.05). Length of hospital stay was not a significant factor for death. Laboratory abnormalities were not related to the outcome of death. Albumin may be related to the risk of death. No laboratory result was pointed out as a facilitator in the generation of proximal femoral fractures. More studies are needed to better understand the laboratory influence on fractures and their consequences.
本研究旨在评估老年股骨近端骨折患者的实验室检查结果概况,并验证这些数据、骨折预后与死亡之间的关系。 对2017年2月至4月间因低能量机制导致股骨近端骨折并接受实验室和影像学检查而入住一家转诊医院骨科急诊的患者进行横断面研究。疑似或确诊病理性骨折的患者被排除在研究之外。 共评估了66例患者,其中44例为女性,均超过60岁。转子间骨折在研究中的发病率最高(36例)。甲状旁腺激素和白蛋白水平的改变对死亡具有显著意义(P≤0.05)。住院时间不是死亡的显著因素。 实验室异常与死亡结局无关。白蛋白可能与死亡风险有关。没有实验室检查结果被指出是股骨近端骨折发生的促成因素。需要更多研究以更好地了解实验室检查对骨折及其后果的影响。