Hwang Kyu-Tae, Moon Jun-Ki, Kim Young-Ho
Department of Orthopedic Surgery, Hanyang University Hospital, 222 Wangsimni-ro, Seongdong-gu, Seoul, 133-791, South Korea.
Department of Orthopedic Surgery, Hanyang University Guri Hospital, Gyomoon-dong 249-1, Guri city, Gyunggi-do, 471-701, South Korea.
Arthroplasty. 2019 Oct 1;1(1):7. doi: 10.1186/s42836-019-0009-1.
Hip fractures are associated with notable mortality rates in elderly patients. The purpose of the study was to evaluate the mortality rate and influencing factors associated with mortality in the elderly patients with hip fractures.
Between October 2000 and December 2009, 807 elderly patients with hip fractures were enrolled in this study. There were 197 men and 610 women. The mean age at injuries were 78 years (range, 65-99 years). The fractures consisted of 390 femoral neck fractures and 417 intertrochanteric fractures. The mortality rate was evaluated between patients who underwent surgical and nonsurgical treatments. The influencing factors associated with mortality rate were evaluated statistically.
Overall, 691 (85.6%) patients treated surgically and 116 (14.4%) patients treated nonsurgically were included. The overall mortality rates one and two years after injuries were 16.6 and 39.4%, respectively. In surgical treatment group, the mortality rate one and two years after injuries were 12.0 and 35.7%, respectively. In nonsurgical treatment group, the mortality rates were 44.0 and 61.2%, respectively (p < 0.05). No significant difference was noted between the types of fractures and the time from injury to surgery. Regardless of surgical methods, a significantly higher mortality rate was observed in patients with heart disease, chronic renal disease, dementia, and cancer, or in patients with 3 or more comorbidities.
In elderly patients with hip fractures, surgical treatments can decrease the mortality rate as compared with nonsurgical treatments. In addition, patients who had three or more comorbidities (heart disease, chronic renal failure, dementia, and history of cancer) are associated with a higher risk of mortality.
Retrospectively registered.
髋部骨折与老年患者的显著死亡率相关。本研究的目的是评估老年髋部骨折患者的死亡率及与死亡相关的影响因素。
2000年10月至2009年12月期间，807例老年髋部骨折患者纳入本研究。其中男性197例，女性610例。受伤时的平均年龄为78岁（范围65 - 99岁）。骨折包括390例股骨颈骨折和417例粗隆间骨折。对接受手术和非手术治疗的患者的死亡率进行评估。对与死亡率相关的影响因素进行统计学评估。
总体而言，纳入691例接受手术治疗的患者和116例接受非手术治疗的患者。受伤后1年和2年的总体死亡率分别为16.6%和39.4%。手术治疗组受伤后1年和2年的死亡率分别为12.0%和35.7%。非手术治疗组的死亡率分别为44.0%和61.2%（p < 0.05）。骨折类型和受伤至手术的时间之间未观察到显著差异。无论手术方法如何，患有心脏病、慢性肾病、痴呆和癌症的患者或患有3种或更多合并症的患者的死亡率显著更高。
在老年髋部骨折患者中，与非手术治疗相比，手术治疗可降低死亡率。此外，患有三种或更多合并症（心脏病、慢性肾衰竭、痴呆和癌症病史）的患者死亡风险更高。
回顾性注册。
