百岁老人的关节骨折:多中心队列研究的功能性结果,死亡率和风险因素
Byung-Woong Jang1, Jin-Woo Kim2, Jae-Hwi Nho1
1Department of Orthopaedic Surgery, Soonchunhyang University Hospital Seoul, Seoul, Korea.
Clinics in orthopedic surgery
|December 4, 2023
概括
百岁老人的部骨折有一年死亡率高达39.3%. 伤害前的门诊状态是这些老年患者死亡的关键风险因素.
科学领域:
- 老年学是一门学科.
- 整形外科手术 整形外科手术
- 老年医学 老年医学
背景情况:
- 百岁以上的人口 (年龄超过100岁的个人) 正在迅速增加.
- 老年人骨折与大量的医疗费用,生活质量下降和社会经济负担有关.
- 关于百岁老人骨折的功能结果和死亡率的研究有限.
研究的目的:
- 调查关节骨折手术后百岁老年患者的功能结果和死亡率.
- 为了确定与这种极端老年人群的死亡率相关的风险因素.
主要方法:
- 一项回顾性观察性研究包括来自10所机构的68名百岁老年关节骨折患者 (2004-2019).
- 分析了56名1年随访的患者的死亡率,功能状态 (科瓦尔分类) 和各种临床因素.
- 使用多变量分析来确定1年死亡率的风险因素.
主要成果:
- 一年死亡率为39.3%,90天死亡率为19.6%.
- 在受伤前具有社区出行能力的患者,与非社区出行者 (52%) 相比,1年死亡率较低 (29%).
- 只有16.1%的幸存者在外科手术后一年恢复了户外行走.
结论:
- 百岁以上的关节骨折患者面临着相当大的1年死亡风险39.3%.
- 伤害前的门诊状态是这一群体死亡率的重要预测因素.
- 骨折前的功能状况应该是百岁老年人部骨折的治疗计划中的一个关键考虑因素.
相关概念视频
Changes in the Appendicular Skeleton with Age
2.0K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.0K
Bone Disorders
3.5K
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...
3.5K
Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K


