Department Age-Related Healthcare, Tallaght University Hospital.
National Quality Improvement Team, Health Service Executive Ireland.
Ir Med J. 2021 Aug 19;114(7):401.
Aim Hip fractures are common amongst older people and result in significant morbidity and mortality. The Irish Hip Fracture Database (IHFD) collects data, from the 16 trauma orthopaedic units in Ireland, on patients aged 60 years and older who sustain hip fractures. This study aims to describe the characteristics of those patients aged 100 years and older in this database. Methods A retrospective analysis of the IHFD from 2012 to 2017. Characteristics of those patients aged 100 years and over were collected and analysed. Results 57 patients were identified for inclusion, 52 (91%) of which were women. Mean age was 101, while mean length of stay was 22.6 days. 51 (89%) fractures were due to low velocity trauma, consistent with likely high rates of osteoporosis in this group. The great majority underwent operative intervention. 50 (88%) were discharged alive. Fracture type varied widely. Only 24 (42%) patients were documented to have been seen by a geriatrician during admission. There were low reported rates of co-morbid medical conditions, likely due to lack of recorded data, rather than true low rates of co-morbidities in this group. Discussion This study provides insight into this distinct group of people, with important implications for future healthcare planning and budgeting.
目的
髋部骨折在老年人中很常见，会导致严重的发病率和死亡率。爱尔兰髋部骨折数据库（IHFD）收集了来自爱尔兰 16 个创伤骨科单位的 60 岁及以上髋部骨折患者的数据。本研究旨在描述该数据库中 100 岁及以上患者的特征。
方法
对 2012 年至 2017 年的 IHFD 进行回顾性分析。收集并分析了 100 岁及以上患者的特征。
结果
共确定了 57 名符合纳入标准的患者，其中 52 名（91%）为女性。平均年龄为 101 岁，平均住院时间为 22.6 天。51 例（89%）骨折是由低能量创伤引起的，这与该组患者骨质疏松症的高发率一致。绝大多数患者接受了手术干预。50 例（88%）患者存活出院。骨折类型多种多样。只有 24 例（42%）患者在住院期间接受过老年病医生的诊治。报告的合并症发生率较低，这可能是由于记录数据不足，而不是该组患者真正的合并症发生率低。
讨论
本研究深入了解了这一特殊人群，对未来的医疗保健规划和预算具有重要意义。
