靠近大腿骨骨折后与死亡率相关的因素
Nike Walter1,2, Dominik Szymski1, Steve Kurtz3
1Department of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.
概括
临近大腿骨骨折的老年患者面临高死亡率,超过24%的人在一年内死亡. 识别男性性别和慢性疾病等风险因素对于更好的管理至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 流行病学 流行病学
背景情况:
- 靠近大腿骨骨折是一个重大的健康问题,特别是在老年人群中.
- 高的骨折后死亡率强调了需要全面的风险评估和管理策略.
研究的目的:
- 确定近腰骨折的老年人骨折后的一年死亡率.
- 确定与这些骨折后死亡率增加相关的关键风险因素.
主要方法:
- 使用的医疗保险医生服务记录数据从2009-2019年用于近端股骨骨折的患者.
- 采用了卡普兰-梅尔 (KM) 方法,用于计算死亡率,对细分和灰分区进行了调整.
- 应用了一种半参数考克斯回归模型,使用23个共变量来确定死亡风险因素.
主要成果:
- 一年死亡率估计为26.8% (头部/部),28.2% (内腔口腔) 和24.2% (下腔口腔) 骨折.
- 确定了许多危险因素,包括男性性别,晚年,COPD,脑血管疾病,慢性脏疾病,充血性心力衰竭,糖尿病,高血压,肥胖,骨质疏松症和低收入.
- 同时出现的骨折和烟草依赖也成为显著的危险因素.
结论:
- 老年人的靠近大腿骨折与相当大的一年死亡率有关.
- 早期识别和治疗可修改风险因素的管理对于改善这一弱势群体的结果至关重要.
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