Emergency Trauma Center, Nanyang Second People's Hospital, Nanyang, Henan, China.
PLoS One. 2024 May 15;19(5):e0303067. doi: 10.1371/journal.pone.0303067. eCollection 2024.
We aimed to explore the predictive value of anthropometric measurements in survival and free walking ability of geriatric hip fractures after surgery.
Eight common anthropometric measurements, including arm circumference (AC), waist circumference (WC), thigh circumference (TC), calf circumference (CC), biceps skinfold (BS), triceps skinfold (TS), suprailiac skinfold (SIS), and subscapular skinfold (SSS), were included to identify their predictive value in survival and free walking ability of geriatric hip fractures. The results of anthropometric measurements were compared between patients with different outcomes. Cox and logistics models were established to further identify the predictive value of anthropometric measurements.
Comparison among groups indicated that individuals with different outcomes may have significantly different anthropometric measurements. In the Cox analyses based on all individuals, all models proved that the patients with higher AC, as well as CC and BS, may have a lower risk of 1-year mortality. Similarly, in the logistics analysis, AC, CC, and BS were proven to have strong predictive ability for 6-month and 1-year mortality in females and overall individuals. However, the predictive value of the eight common anthropometric measurements in free walking ability is not significant.
AC, CC, and BS may have strong predictive ability for 6-month and 1-year mortality in all individuals and females.
本研究旨在探讨老年人髋部骨折术后生存和自由行走能力的预测价值。
纳入 8 项常见的人体测量学指标,包括臂围(AC)、腰围(WC)、大腿围(TC)、小腿围(CC)、肱二头肌皮褶(BS)、肱三头肌皮褶(TS)、骼前上棘皮褶(SIS)和肩胛下角皮褶(SSS),以确定它们对老年人髋部骨折术后生存和自由行走能力的预测价值。比较不同结局患者的人体测量学指标结果。建立 Cox 和逻辑回归模型进一步确定人体测量学指标的预测价值。
组间比较表明,不同结局的个体可能有明显不同的人体测量学指标。在基于所有个体的 Cox 分析中,所有模型均表明,AC 较高以及 CC 和 BS 较高的患者可能具有较低的 1 年死亡率风险。同样,在逻辑回归分析中,AC、CC 和 BS 被证明对女性和所有个体的 6 个月和 1 年死亡率具有很强的预测能力。然而,8 项常见人体测量学指标对自由行走能力的预测价值不显著。
AC、CC 和 BS 可能对所有个体和女性的 6 个月和 1 年死亡率具有很强的预测能力。