Raunest J, Engelmann R, Derra E
Abteilung für Allgemein- und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:977-80.
The influence of operative morbidity on clinical long-term results is evaluated in a prospective study employing a consecutive series of 120 patients (mean age, 82.5 +/- 4.7 years) with operatively treated fractures of the coxal femur. Perioperative complications which were observed in 37.5%, with a predominance of urinary tract infection (n = 26), bronchopneumonia (n = 16) and cardiac decompensation (n = 4), were significantly associated with a pertrochanteric fracture localization (p < 0.05), prolonged latency from trauma to surgery (p < 0.01), and a prevalence of three and more internal diseases (p < 0.01). At 1-year follow-up patients with a perioperative complication had a significantly worse performance scoring (p < 0.01) than individuals with an unimpaired perioperative course. This leads to the conclusion that perioperative morbidity decisively influences functional outcome in the elderly patient.
一项前瞻性研究评估了手术并发症对临床长期结果的影响，该研究连续纳入了120例接受手术治疗的股骨转子间骨折患者（平均年龄82.5±4.7岁）。37.5%的患者出现围手术期并发症，其中以尿路感染（n = 26）、支气管肺炎（n = 16）和心脏代偿失调（n = 4）为主，这些并发症与转子间骨折的部位（p < 0.05）、创伤至手术的延迟时间延长（p < 0.01）以及三种及以上内科疾病的患病率（p < 0.01）显著相关。在1年随访时，围手术期出现并发症的患者功能评分明显低于围手术期过程未受影响的患者（p < 0.01）。由此得出结论，围手术期并发症对老年患者的功能结局有决定性影响。
