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作者信息
Zrour Saoussen, Belhaj Salem Siwar, Ben Chekaya Narimane, Grassa Rim, Bejia Ismail, Abid Abderazek
机构信息
Rheumatology Department, Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir, University of Monastir, Tunisia.
Orthopaedic Department, Fattouma Bourguiba Hospital, Monastir Faculty of Medicine, University of Monastir, Tunisia.
出版信息
Tunis Med. 2024 Dec 5;102(12):1078-1083. doi: 10.62438/tunismed.v102i12.5178.
OBJECTIVES
To evaluate survival after osteoporotic fractures of the upper femur and determine its associated factors.
METHODS
Cross-sectional study of patients hospitalized for fractures of the upper end of the femur during 2020 at Monastir University Hospital. Outcome was determined up to 2 years. The Kaplan-Meier curve is used for survival analysis.
RESULTS
Eighty one patients with mean age of 77.46 ± 17,36 years and a sex ratio of 0.61 were evaluated. The femoral neck fracture was observed in54% of cases. Overall survival was 84.6% at 6 months, 75.4% at 1 year and 63.4% at 2 years. Median survival was 30 months. Patients older than 75 years had a shorter survival (68% versus 83% at one year and 55% versus 72% at 2 years ; p < 10-3).
CONCLUSION
The osteoporotic fracture of the upper femur is serious due to its severe outcome. One-year mortality was aboutt 25%. Increased mortality was associated to elderly population.
目的
评估股骨上段骨质疏松性骨折后的生存率，并确定其相关因素。
方法
对2020年在莫纳斯提尔大学医院因股骨上端骨折住院的患者进行横断面研究。随访至2年确定结果。采用Kaplan-Meier曲线进行生存分析。
结果
共评估了81例患者，平均年龄77.46±17.36岁，性别比为0.61。54%的病例观察到股骨颈骨折。6个月时总生存率为84.6%，1年时为75.4%，2年时为63.4%。中位生存期为30个月。75岁以上患者的生存期较短（1年时分别为68%对83%，2年时分别为55%对72%；p<10-3）。
结论
股骨上段骨质疏松性骨折因其严重后果而较为严重。1年死亡率约为25%。死亡率增加与老年人群有关。
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