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诺丁汉髋关节骨折评分作为髋部骨折手术固定患者术后3个月死亡率的预测指标:一项前瞻性研究。

Nottingham Hip Fracture Score as a predictor of 3 months postoperative mortality in patients undergoing surgical fixation of hip fractures: A prospective study.

作者信息

Chinoy Muhammad Amin, Gulzar Naqvi Syed Zohaib, Khan Mansoor Ali, Ahmed Syed Kamran, Muhammad Maryum Gul

机构信息

The Indus Hospital,Karachi, Pakistan.

The Indus Hospital, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S3-S5.

PMID:31981326
Abstract

OBJECTIVE

Nottingham Hip Fracture Score was utilized to evaluate its efficacy to identify high risk pateints interms of 3 months postoperative mortality.NHFS comprises of seven independent predictors that were incorporated into a risk score to identify patients who were high risk for post-operative mortality with hip fracture..

METHODS

NHFS was prospectively calculated for 88 patients who underwent surgeries for hip fracture from 25th December 2014 to 25th June 2015 at the Indus Hospital Karachi. Both neck of femur and Intertrochanteric fracture were included. NHFS of ≤4 was considered as low risk and a score of ≥5 as high risk for mortality.

RESULTS

The 3 months post-operative mortality was 22%. Increase in number of mortality was observed in patients who belonged to the high risk (NHFS ≥5) group, with statistically significant relationship when compared with the low risk (NHFS ≤4) group (p=0.01).

CONCLUSIONS

NHFS can be used to predict the risk of 3 months postoperative mortality in patients undergoing hip fracture surgery.

摘要

目的

采用诺丁汉髋关节骨折评分来评估其在识别术后3个月死亡率方面高危患者的有效性。诺丁汉髋关节骨折评分由七个独立预测因素组成,这些因素被纳入一个风险评分中,以识别髋关节骨折术后死亡风险高的患者。

方法

前瞻性地计算了2014年12月25日至2015年6月25日在卡拉奇印度河医院接受髋关节骨折手术的88例患者的诺丁汉髋关节骨折评分。股骨颈骨折和转子间骨折均包括在内。诺丁汉髋关节骨折评分≤4被视为低风险,评分≥5被视为死亡高风险。

结果

术后3个月死亡率为22%。在高危(诺丁汉髋关节骨折评分≥5)组患者中观察到死亡人数增加,与低危(诺丁汉髋关节骨折评分≤4)组相比具有统计学显著关系(p=0.01)。

结论

诺丁汉髋关节骨折评分可用于预测髋关节骨折手术患者术后3个月的死亡风险。

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