Shirbache Kamran, Mafhoumi Asma, Anaraki Nazanin, Madreseh Elham, Shafiei Seyyed Hossein, Bagheri Nima, Oryadi Zanjani Leila, Nezameslami Ahmadreza, Garmroudi Gholamreza, Nabian Mohammad Hossein
Pediatric Orthopaedic Department, Hôpital Robert-Debré, Groupe Hospitalier Universitaire AP-HP Nord-Université Paris-Cité, Paris, France.
Center for Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, Iran.
Eur J Orthop Surg Traumatol. 2025 Apr 26;35(1):169. doi: 10.1007/s00590-025-04262-z.
The burden of orthopedic admissions has notably increased in recent years. Managing orthopedic conditions is challenging in clinical settings. Orthopedic complaints often necessitate urgent medical intervention to prevent complications and mortality. Despite advancements in medical care, some patients still experience severe complications, extended hospital stays, and death following orthopedic admission. In this study, we aimed to explore the distribution of potential risk factors and common patterns in orthopedic patients who died during their hospitalization.
All the patients who were admitted to three tertiary trauma centers with orthopedic complaints from 2010 to 2023 and died during hospitalization were enrolled in this study. Demographic, injury-related, laboratory-related, intervention-related, complication-related, and healthcare-related data were extracted using the patient's medical records. Descriptive analysis of the collected data was performed using the SPSS version 27 software.
333 patients who died in the hospital with orthopedic complaints were included in the study and examined. The mean age of patients in this study was 67.89 years, comprising 68% males and 32% females. Trauma was patients' most common clinical cause of admission (63.7%). The prevalence of death before surgery, death during the first 24 h after surgery, and death after 24 h postoperatively were 26.4%, 18.6%, and 55%, respectively.
Our findings suggest a high prevalence of trauma as a clinical complaint leading to death among patients, emphasizing the importance of developing an integrated protocol for trauma preventive strategies.
近年来，骨科住院负担显著增加。在临床环境中管理骨科疾病具有挑战性。骨科疾病常常需要紧急医疗干预以预防并发症和死亡。尽管医疗护理有所进步，但一些患者在骨科住院后仍会出现严重并发症、延长住院时间并死亡。在本研究中，我们旨在探讨住院期间死亡的骨科患者潜在风险因素的分布情况和常见模式。
纳入2010年至2023年期间因骨科疾病入住三家三级创伤中心且在住院期间死亡的所有患者。使用患者病历提取人口统计学、损伤相关、实验室相关、干预相关、并发症相关和医疗保健相关数据。使用SPSS 27版软件对收集的数据进行描述性分析。
本研究纳入并检查了333例因骨科疾病在医院死亡的患者。本研究中患者的平均年龄为67.89岁，其中男性占68%，女性占32%。创伤是患者最常见的临床入院原因（63.7%）。术前死亡、术后24小时内死亡和术后24小时后死亡的发生率分别为26.4%、18.6%和55%。
我们的研究结果表明，创伤作为导致患者死亡的临床主诉发生率很高，强调了制定综合创伤预防策略方案的重要性。
