Ramezani Akam, Babagoli Mazyar, Ghaseminejad-Raeini Amirhossein, Golbakhsh Mohammadreza, Shafiei Seyyed Hossein
Orthopedic Surgery Research Center (OSRC), Sina University Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Ann Med Surg (Lond). 2023 Dec 11;86(2):703-711. doi: 10.1097/MS9.0000000000001608. eCollection 2024 Feb.
Intertrochanteric fractures, which make up the majority of hip fractures, are a common and serious injury that can greatly impact quality of life. Treatment of such fractures comprises nearly half of the costs contributed to hip fractures. Identifying the factors affecting the functional outcomes of patients after intertrochanteric fracture can help to reduce burden of disease for the patient and healthcare system. The present study investigated the factors underlying the worsening of short form-36 score (SF-36) scores for intertrochanteric fracture patients.
This retrospective cohort study was designed based on data from our clinic. All consecutive patients with intertrochanteric fractures from November 2016 to September 2020 were reviewed. The exclusion criteria included patients having a second injury or having had previous surgery related to the hip and those with incomplete data. Baseline characteristics of patients were extracted from annotated records. The lab data were acquired from the electronic hospital system. The outcomes were SF-36 scores obtained by phone contact with patients or their families. Statistical analysis was conducted in SPSS.
A total of 310 patients were included in the current study. The female gender, advanced age, history of diabetes, thyroid malfunction, cancer, osteoporosis, anticoagulant use and blood transfusion were identified as risk factors for lower SF-36 scores. Low levels of haemoglobin before surgery, blood urea nitrogen (BUN), BUN/Creatinine, and white blood count values correlated with lower SF-36 scores.
Numerous contextual variables affected the functional outcomes of the patients. Consideration of these factors could be helpful in reducing costs and improving the quality of life for intertrochanteric fracture patients.
粗隆间骨折占髋部骨折的大部分，是一种常见且严重的损伤，会对生活质量产生重大影响。此类骨折的治疗费用几乎占髋部骨折总费用的一半。确定影响粗隆间骨折患者功能结局的因素有助于减轻患者和医疗系统的疾病负担。本研究调查了粗隆间骨折患者简短健康调查问卷（SF-36）评分恶化的潜在因素。
本回顾性队列研究基于我们诊所的数据进行设计。对2016年11月至2020年9月期间所有连续的粗隆间骨折患者进行了回顾。排除标准包括有二次受伤或既往有与髋部相关手术史的患者以及数据不完整的患者。从注释记录中提取患者的基线特征。实验室数据从电子医院系统获取。结局指标是通过与患者或其家属电话联系获得的SF-36评分。在SPSS中进行统计分析。
本研究共纳入310例患者。女性、高龄、糖尿病史、甲状腺功能异常、癌症、骨质疏松症、使用抗凝剂和输血被确定为SF-36评分较低的危险因素。术前血红蛋白水平低、血尿素氮（BUN）、BUN/肌酐以及白细胞计数与较低的SF-36评分相关。
众多背景变量影响了患者的功能结局。考虑这些因素可能有助于降低成本并提高粗隆间骨折患者的生活质量。
