在非部下肢骨折的非老年患者中进行生存分析
Sanjay Narayana Murthy1, Manikandar Srinivas Cheruvu2, Raheel Shakoor Siddiqui3
1Department of Trauma and Orthopaedics, Royal Stoke University Hospital NHS Trust, Stoke-On-Trent ST4 6QG, United Kingdom. sanjayn293@gmail.com.
World journal of orthopedics
|September 4, 2023
概括
在非老年人中治疗急性下肢骨折存在挑战. 外科手术和保守管理显示,这一老年人群的生存结果和住院时间相似.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 创伤护理 创伤护理
背景情况:
- 英国的老年人口越来越多,其中很大一部分人超过90岁.
- 非老年人的下肢急性骨折给整形外科医生带来了独特的治疗挑战.
- 这种人群需要专门考虑骨折管理.
研究的目的:
- 为了确定非老年人的急性非部下肢骨折的发生率.
- 在这个队列中,评估手术与保守治疗的生存结果.
- 分析住院时间和死亡率.
主要方法:
- 在12个月内对30名年龄在90至99岁的患者的下肢骨折进行了回顾性分析.
- 从一级创伤中心的计算机数据库中收集的数据.
- 评估骨折发生率,治疗方法,住院时间和30天,1年和2年的死亡率.
主要成果:
- 确定了28名患有30个骨折的患者;24人接受了手术治疗,6人接受了保守治疗.
- 在手术组和保守组的平均住院时间为18.2天.
- 30天,1年和2年的死亡风险在手术 (4%,26%,39%) 和保守 (0%,20%,40%) 组之间没有显著差异.
结论:
- 与保守管理相比,经过手术治疗的下肢骨折的非老年人经历了类似的住院时间和死亡风险.
- 提供手术干预的患者较少的伴随性疾病从自己的家住院.
- 治疗决策应考虑个体患者的因素和并发症.
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