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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.

DOI:10.1136/emj.1.4.215
PMID:6537205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1285229/
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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Proximal femoral fractures: some determinants of outcome.股骨近端骨折:预后的一些决定因素。
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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
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