老年股骨近端骨折的预后因素
Prognostic factors for the elderly with proximal femoral fracture.
作者信息
Young T B, Gibbs A C
出版信息
Arch Emerg Med. 1984 Dec;1(4):215-24. doi: 10.1136/emj.1.4.215.
Abstract
A prospective study of 125 elderly patients (over 65 years) with proximal femoral fracture was carried out to compare pre-fracture sociomedical factors with the local and general complications following surgical treatment, in predicting mortality and length of stay. A poor pre-fracture mental state was more important than associated physical illness in predicting mortality. Pre-fracture mobility state was the most useful early prognostic predictor of length of hospitalization. Post-operative general complications were the most significant in predicting mortality and length of hospitalization, and more important than failure of operative technique.
摘要
对125例股骨近端骨折的老年患者（65岁以上）进行了一项前瞻性研究，以比较骨折前的社会医学因素与手术治疗后的局部和全身并发症，从而预测死亡率和住院时间。在预测死亡率方面，骨折前的精神状态不佳比相关的身体疾病更为重要。骨折前的活动状态是预测住院时间最有用的早期预后指标。术后全身并发症在预测死亡率和住院时间方面最为显著，且比手术技术失败更重要。
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本文引用的文献
1
Mortality and life expectancy after hip fractures.髋部骨折后的死亡率和预期寿命。
Acta Orthop Scand. 1980 Feb;51(1):163-70. doi: 10.3109/17453678008990781.
2
Cardiovascular and neurological function in elderly patients sustaining a fracture of the neck of the femur.老年股骨颈骨折患者的心血管和神经功能
J Bone Joint Surg Br. 1981;63B(4):560-6. doi: 10.1302/0301-620X.63B4.7298685.
3
Fractures of the femoral neck in the 'young' elderly.“年轻”老年人的股骨颈骨折
Injury. 1980 Jul;12(1):41-4. doi: 10.1016/0020-1383(80)90074-1.
4
Falls.跌倒
Br J Hosp Med. 1982 Nov;28(5):494-503.
5
Determining factors for the mortality following hip fractures.髋部骨折后死亡率的决定因素。
Injury. 1984 May;15(6):411-4. doi: 10.1016/0020-1383(84)90209-2.
6
Drug use and accidental falls in an intermediate care facility.中级护理机构中的药物使用与意外跌倒
Drug Intell Clin Pharm. 1983 Jul-Aug;17(7-8):539-42. doi: 10.1177/106002808301700708.
7
Iatrogenic factors in femoral neck fractures.股骨颈骨折中的医源性因素。
Injury. 1976 Nov;8(2):98-101. doi: 10.1016/0020-1383(76)90041-3.
8
Mental state and other prognostic factors in femoral fractures of the elderly.老年人股骨骨折的精神状态及其他预后因素
J R Coll Gen Pract. 1978 Sep;28(194):557-9.
9
Survival and ambulation following hip fracture.髋部骨折后的生存及行走情况
J Bone Joint Surg Am. 1978 Oct;60(7):930-4.
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A prospective study of fractured proximal femur: factors predisposing to survival.股骨近端骨折的前瞻性研究：影响生存的易患因素
Age Ageing. 1979 Nov;8(4):246-50. doi: 10.1093/ageing/8.4.246.
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