百岁老人骨折的结果:一个系统的审查和元分析
Diego Agustín Abelleyra Lastoria1, Clerin Kulangara Benny2, Toby Smith3
1St George's University London, London, SW17 0RE, UK. m1800817@sgul.ac.uk.
European geriatric medicine
|October 4, 2023
概括
百岁老人骨折的死亡率高 (53.8%),并发症率高 (50.5%). 痴呆症,高血压和糖尿病是这个人群中常见的并发症.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 百岁老人部骨折的报道不足,这是因为达到这个年龄的人很少出现.
- 了解这一群体的结果和并发症对于改善护理至关重要.
研究的目的:
- 为了确定百岁老人的关节骨折的结果.
- 在经历骨折的百岁老人中识别常见的并发病.
主要方法:
- 进行了系统的文献搜索,直到2023年1月.
- 对23项涉及6970名百岁老人的研究进行了随机效应元分析.
- 使用适当的设计特定工具评估了研究质量.
主要成果:
- 部骨折后的一年死亡率为53.8% (95%CI为47.2-60.3%).
- 综合并发症发生率为50.5% (95% CI 25.3-75.6%).
- 常见的并发病包括痴呆 (26.2%),高血压 (15.6%) 和糖尿病 (5.5%).
结论:
- 百岁老人的关节骨折呈现出复杂的病例,具有多种并发症.
- 对于这一人口群体的现有证据基础是中等到低质量的.
- 建议加强跨学科的沟通和干预,以改善治疗结果.
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