九旬老人髋部骨折：单机构的发病率和死亡率
Nonagenarian hip fractures: Morbidity and mortality at a single institution.
作者信息
Bolton Dane, Bush Chelsea, Wallace Matthew T
机构信息
Orthopaedic Resident, Wellspan Orthopaedics, 25 Monument Rd., Suite 290, York, PA, 17403, USA.
Wellspan Orthopaedics, 25 Monument Rd., Suite 290, York, PA, 17403, USA.
出版信息
J Clin Orthop Trauma. 2020 Sep 22;14:69-73. doi: 10.1016/j.jcot.2020.09.020. eCollection 2021 Mar.
Abstract
OBJECTIVES
The incidence of hip fractures continues to rise dramatically, but few studies have examined these injuries in the population of individuals over 90 years of age, which is one of the fastest growing populations. We present the largest such study specifically examining hip fractures in the super-elderly.
METHODS
A review of 216 hip fracture patients over 90 years of age were examined for immediate postoperative complications and in-house, 30-day, and 1-year mortality.
RESULTS
Overall 1-year mortality was 38.1%. Statistically-significant risk factors for 1-year mortality included oncologic fracture, dementia, and CHF. Fracture classification and hospital length of stay were associated with perioperative complications including anemia and pneumonia.
CONCLUSION
The nonagenarian hip fracture is associated with a higher 1-year mortality than prior reported rates of mortality for elderly hip fractures. Factors previously reported to influence the risk of 1-year mortality in hip fractures are not observed in the super-elderly.
摘要
目的
髋部骨折的发病率持续急剧上升，但很少有研究针对90岁以上人群的此类损伤进行调查，而这是增长最快的人群之一。我们开展了规模最大的此类研究，专门研究超高龄人群的髋部骨折。
方法
对216例90岁以上髋部骨折患者进行回顾性研究，检查其术后即刻并发症以及住院期间、30天和1年死亡率。
结果
总体1年死亡率为38.1%。1年死亡率的统计学显著危险因素包括肿瘤性骨折、痴呆和充血性心力衰竭。骨折分类和住院时间与包括贫血和肺炎在内的围手术期并发症相关。
结论
90岁以上老人髋部骨折的1年死亡率高于先前报道的老年髋部骨折死亡率。在超高龄人群中未观察到先前报道的影响髋部骨折1年死亡率风险的因素。
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