延迟干预对老年创伤性髋部骨折临床结局的影响：一项全国性分析。
Impact of delayed intervention on clinical outcomes following traumatic hip fracture in the elderly: A national analysis.
作者信息
Tran Zachary, Hsiue Peter Paul, Pan Chelsea, Verma Arjun, Rahimtoola Rhea, Stavrakis Alexandra, Lee Christopher, Benharash Peyman
机构信息
Cardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
UCLA Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
出版信息
J Orthop. 2021 Sep 14;27:74-78. doi: 10.1016/j.jor.2021.09.006. eCollection 2021 Sep-Oct.
The present study sought to evaluate clinical outcomes of delayed intervention following hip fractures. Adults (≥60 years) who underwent operative intervention for hip fracture following traumatic fall were identified using the 2008-2018 National Inpatient Sample. Patients were classified as if repair was >48 h after admission and otherwise considered . Of an estimated 1,942,905 patients, 148,441 (7.6%) were . more commonly suffered neck fractures, underwent hip arthroplasty and were managed at low-volume hospitals. After adjustment, delayed operation was associated with greater likelihood of mortality (adjusted odds ratio (AOR): 1.28, 95% CI: 1.17-1.40), studied complications, hospitalization duration and costs.
本研究旨在评估髋部骨折后延迟干预的临床结局。利用2008 - 2018年全国住院患者样本，确定因创伤性跌倒后接受髋部骨折手术干预的成年人（≥60岁）。如果修复在入院后超过48小时，则将患者分类为[此处原文缺失相关分类内容]，否则视为[此处原文缺失相关分类内容]。在估计的1,942,905名患者中，148,441名（7.6%）为[此处原文缺失相关分类内容]。[此处原文缺失相关内容]更常发生颈部骨折，接受髋关节置换术，并在小容量医院接受治疗。调整后，延迟手术与更高的死亡可能性相关（调整优势比（AOR）：1.28，95%置信区间：1.17 - 1.40），研究了并发症、住院时间和费用。
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