Canbolat Nur, Bayram Serkan, Gökçeoğlu Yaşar Samet, Tezgel Okan, Kapicioğlu Mehmet, Erşen Ali, Bilsel Kerem, Büget Mehmet İlke
Department of Anesthesiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Department of Orthopedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Shoulder Elbow. 2024 Oct;16(5):518-526. doi: 10.1177/17585732231185099. Epub 2023 Jun 27.
We aimed to evaluate the predictive determitants in patients with PHF who were treated with reverse shoulder arthroplasty (RSA) by evaluating the patient characteristics and comorbidities and extensive preoperative laboratory parameters.
With examining the records of elderly patients (over 65 years old) with PHF, who were admitted to our emergency department between 2009 and 2020. For evaluation of the survival, we performed Kaplan-Meirer statistical anaylses. A Cox algorithms (uni and multivariate) were applied to recognize factors (including clinical and laboratory parameters) which are associated with survival.
Sixty-three females and 17 males were included with a mean of 73.5 ± 7.4 years of age. Nineteen (23.83%) patients had decreased after the surgery, with a mean survival of 47.5 ± 32.7 months There were 61 (76.3%) surviving patients with a mean survival of 67.4 ± 35.4 months. Survival rates in the first 6 months (n: 2 patients), first year (n: 3 patients), and second year (n: 6 patients) after surgery were 97.5%, 96.3%, and 92.3%, respectively.
The age and preoperative hemoglobin level were independently related with poor survival in patients with PHF.
Level III Retrospective Cohort, Prognosis Study.
我们旨在通过评估患者特征、合并症以及广泛的术前实验室参数，来评价接受反肩关节置换术（RSA）治疗的肱骨近端骨折（PHF）患者的预测决定因素。
查阅2009年至2020年间入住我院急诊科的老年（65岁以上）PHF患者的记录。为评估生存率，我们进行了Kaplan-Meier统计分析。应用Cox算法（单变量和多变量）来识别与生存相关的因素（包括临床和实验室参数）。
纳入63名女性和17名男性，平均年龄为73.5±7.4岁。19名（23.83%）患者术后病情恶化，平均生存期为47.5±32.7个月。有61名（76.3%）存活患者，平均生存期为67.4±35.4个月。术后前6个月（n = 2例）、第1年（n = 3例）和第2年（n = 6例）的生存率分别为97.5%、96.3%和92.3%。
年龄和术前血红蛋白水平与PHF患者的不良生存独立相关。
III级回顾性队列预后研究。
