在老年人中,关节骨折手术后的一年死亡率的预测因素
Mehmet Özel1, Mustafa Altıntaş2, Ali Cankut Tatlıparmak3
1Department of Emergency Medicine, University of Health Sciences, Diyarbakir Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.
PeerJ
|September 13, 2023
概括
老年关节骨折患者患有慢性肺炎,红细胞分布宽度 (RDW) 较高,入院时白蛋白水平较低,面临1年死亡风险增加. 这些因素是部骨折手术后死亡率的独立预测因素.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 血液学 血液学 血液学
背景情况:
- 部骨折是老年人死亡的重要原因之一.
- 识别死亡风险因素对于改善这一群体的结果至关重要.
研究的目的:
- 调查红细胞分布宽度 (RDW),白蛋白水平及其比率 (RA) 对老年关节骨折患者1年死亡率的预测值.
- 为了确定部骨折手术后死亡率的关键预测因素.
主要方法:
- 一项对275名接受关节骨折手术的老年患者的回顾性研究.
- 对入院和术后RDW,白蛋白和RA比率的分析.
- 二元逻辑回归用于识别1年死亡率的独立预测因素.
主要成果:
- 一年死亡率为34.7%.
- 较高的入院RDW (OR 1.78) 和COPD存在 (OR 3.73) 与死亡率的增加有关.
- 较低的入院白蛋白水平 (OR 0.81) 独立地与增加的死亡率有关.
结论:
- 慢性肺炎,高RDW和入院时低白蛋白是老年关节骨折患者1年死亡率的独立预测因素.
- 这些生物标志物可以帮助风险分层和管理策略.
更多相关视频
06:58Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
10.0K
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.7K
相关概念视频
01:20Actuarial Approach
96
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
96
01:29Bone Disorders
3.6K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.6K