在老年骨折患者中推迟手术治疗
Elias G Joseph1, Jordan Serotte2, Mohammad N Haider3
1Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine, Chattanooga, TN, USA.
Geriatric orthopaedic surgery & rehabilitation
|October 23, 2023
概括
老年人部骨折手术的延迟,通常是由于心脏病咨询,不会影响1年的死亡率. 了解这些延迟有助于优化对老年关节骨折患者的护理.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
背景情况:
- 部骨折在老年人中很常见,手术往往会延迟.
- 尽量减少手术延迟是老年人关节骨折护理中日益关注的一个重点.
研究的目的:
- 为了确定导致老年骨折患者手术延迟的因素.
- 分析手术时间对1年死亡率的影响.
主要方法:
- 对1157名老年关节骨折患者进行了回顾性队列研究.
- 推迟评估的风险因素:人口统计,并发症,心脏病咨询和治疗中心.
- 与手术时间相关的1年死亡率评估.
主要成果:
- 增加延迟 (>48小时) 的因素包括男性性别,社区医院治疗,年龄较大,并发症,心脏病咨询和高ASA分数.
- 心脏病咨询是延迟最强的预测因素 (OR,6.68;P <.001).
- 早期 (<48小时) 和延迟 (≥48小时) 手术之间的1年死亡率没有显著差异 (P = .109).
结论:
- 心血管并发症和心脏病咨询可以延迟65岁以上患者的关节骨折手术.
- 手术延迟超过48小时并没有影响1年全因死亡率.
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