老年人的开放脚骨折:一个多中心研究
Kristen Nathe1, Yianni Bakaes2, Alec M Giakas3
1Prisma Health Midlands Department of Orthopaedic Surgery, Columbia, SC.
概括
老年人的开放脚骨折导致截肢和死亡率高. 男性性别,骨折类型,年龄较大和糖尿病是不良结果的关键预测因素.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
背景情况:
- 开放的脚骨折在老年人群中存在独特的挑战.
- 了解风险因素和结果对于老年创伤护理至关重要.
研究的目的:
- 为了确定人口统计学,病因学,并发症,治疗,并发症和老年患者 (≥60岁) 患有开放脚骨折的结果.
- 确定术后截肢和1年死亡率的独立预测因素.
主要方法:
- 从6个1级创伤中心 (2004-2014) 进行了162名公开脚骨折的患者 (≥60岁) 的回顾性评估.
- 用单变量和多变量逻辑回归分析来确定截肢和死亡率的预测因素.
主要成果:
- 地平面下跌是最常见的伤害机制 (51.9%). 双 (52.5%) 和三 (26.5%) 骨折是最常见的.
- 并发症包括表面感染 (15.4%),深层感染 (9.9%) 和截肢 (9.3%). 一年死亡率为13.6%,整体死亡率为25.9%.
- 男性的性别和骨折类型预测截肢. 高龄和糖尿病预测了1年的死亡率.
结论:
- 老年人的开放脚骨折与截肢和死亡率有很大关系.
- 早期识别风险因素对于改善患者管理和治疗结果至关重要.
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