股関節骨折の高齢者における術後不全症に関連した要因: スコーピングレビュー
Ganying Huang1,2,3, Yitao Zhou2, Huijie Yang3
1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University (Hangzhou First People's Hospital), Hangzhou, Zhejiang, China.
Frontiers in surgery
|February 20, 2026
まとめ
股関節骨折手術後の術後不全症は,高齢者の間で一般的であり,総流行率は39%である. 評価方法が一貫していないため,発生率は大きく変化しており,標準化されたアプローチの必要性を強調し,サルコーペニアなどの影響因子に関するさらなる研究が必要です.
科学分野:
- ゲリアトリック・メディシン (老年医学)
- 手術による合併症
- 飲み込み障害 飲み込み障害
背景:
- 術後不全症は,高齢の股関節骨折患者の診断不足の合併症である.
- 吸気性肺炎,栄養失調,長期間の入院など,有害な結果と関連しています.
- 発症率と要因に関する既存の証拠は断片化されています.
研究 の 目的:
- 高齢者における手術後の部骨折後の不症の発生率と評価に関する証拠をマッピングする.
- この状態に関連する要因を特定するために.
- 術後の管理とリハビリテーションの改善のための知識のギャップを特定する.
主な方法:
- ArkseyとO'MalleyのフレームワークとPRISMA-ScRのガイドラインに従ったスコーピングレビュー.
- 2025年6月までの9つのデータベース (英語と中国語) の包括的な検索.
- ヒップ骨折手術を受けた60歳以上の患者に関する研究を含む.
主要な成果:
- 11つの研究が含まれて,6つの飲み込み評価方法が特定されました.
- 報告されたディスファギア発生率は著しく変動し,総合的な罹患率は39% (95%CI: 0.26-0.53) であり,高異質性 (I2=99%) であった.
- 影響する要因には,患者,手術,およびサルコペニアに関連する領域が含まれていましたが,サルコペニアと持続的な失調症の関連性は限られていた.
結論:
- 高齢の股関節骨折患者における術後不全症は多因性であり,発生報告は一貫していない.
- 評価方法とタイミングの異質性は,データの解釈を複雑にする.
- 将来の研究は,回復経路と,標的型介入におけるサルコペニアの役割を探求すべきである.
関連する概念動画
Esophageal Strictures-II: Clinical Features and Management
732
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
732
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
1.2K
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.2K
Pharmacodynamics in Geriatric Patients: Effects of Age
254
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
254
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.7K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.7K
Peptic Ulcer Disease V: Surgical Management and Nursing Care
979
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
979


