Zhang Ting, Zhao Yi-Nan, Niu Zhi-Xia, Quan Wei, Zhang Hui, Li Zhi-Quan, Liu Yan-Wu
Department of Orthopaedics, Xijing Hospital of Air Force Military Medical University, Xi'an 710000, Shaanxi, China.
Zhongguo Gu Shang. 2022 May 25;35(5):460-3. doi: 10.12200/j.issn.1003-0034.2022.05.010.
To explore the incidence and risk factors of readmission of elderly patients with hip fracture after hip hemiarthroplasty.
A retrospective analysis of 237 elderly hip fracture patients who underwent hip hemiarthroplasty from February 2015 to October 2020 were performed. According to the readmission status of the patients at 3 months postoperatively, the patients were divided into readmission group (39 cases)and non-readmission group(198 cases). In readmission group, there were 7 males and 32 females with an average age of(84.59±4.34) years old, respectively, there were 34 males and 164 females with average age of (84.65±4.17) years old in non-readmission group. The general information, surgical status, hip Harris score and complications of patients in two groups were included in univariate analysis, and multivariate Logistic regression was used to analyze independent risk factors of patients' readmission.
The proportion of complications(cerebral infarction and coronary heart disease) in readmission group was significantly higher than that of non-readmission group (<0.05), and intraoperative blood loss in readmission group was significantly higher than that of non-readmission group(<0.05). Harris score of hip joint was significantly lower than that of non-readmission group(<0.05). The proportion of infection, delirium, joint dislocation, anemia and venous thrombosis in readmission group were significantly higher than that of non-readmission group (all <0.05). Multivariate Logistic regression analysis showed that the risk factors for readmission of elderly patients with hip fracture after hip hemiarthroplasty included cerebral infarction, infection, delirium, dislocation, anemia and venous thrombosis (all <0.05).
The complications of the elderly patients who were readmission after hip hemiarthroplasty for hip fractures were significantly higher than those who were non-readmission. Cerebral infarction, infection, delirium, dislocation, anemia and venous thrombosis are risk factors that lead to patient readmission. Corresponding intervention measures can be taken clinically based on these risk factors to reduce the incidence of patient readmissions.
探讨老年髋部骨折患者行半髋关节置换术后再入院的发生率及危险因素。
回顾性分析2015年2月至2020年10月行半髋关节置换术的237例老年髋部骨折患者。根据患者术后3个月的再入院情况，将患者分为再入院组（39例）和非再入院组（198例）。再入院组中，男性7例，女性32例，平均年龄（84.59±4.34）岁；非再入院组中，男性34例，女性164例，平均年龄（84.65±4.17）岁。对两组患者的一般资料、手术情况、髋关节Harris评分及并发症进行单因素分析，并采用多因素Logistic回归分析患者再入院的独立危险因素。
再入院组并发症（脑梗死、冠心病）发生率显著高于非再入院组（<0.05），术中出血量显著高于非再入院组（<0.05）。髋关节Harris评分显著低于非再入院组（<0.05）。再入院组感染、谵妄、关节脱位、贫血及静脉血栓形成的发生率均显著高于非再入院组（均<0.05）。多因素Logistic回归分析显示，老年髋部骨折患者行半髋关节置换术后再入院的危险因素包括脑梗死、感染、谵妄、脱位、贫血及静脉血栓形成（均<0.05）。
老年髋部骨折行半髋关节置换术后再入院患者的并发症显著高于未再入院患者。脑梗死、感染、谵妄、脱位、贫血及静脉血栓形成是导致患者再入院的危险因素。临床上可根据这些危险因素采取相应的干预措施，以降低患者再入院的发生率。
