在患有慢性脏病的老年人中,内骨折后的9年生存率
Ong-Art Phruetthiphat1, Attaporn Lawanprasert2, Yodhathai Satravaha3
1Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, 315 Ratchawidhi Rd, Thung Phaya Thai, Ratchathewi, Bangkok, 10400, Thailand. ophruetthiphat@gmail.com.
Scientific reports
|September 8, 2024
概括
患有内骨折和慢性病 (CKD) 的老年患者面临更高的死亡率. 慢性瘤5期显著缩短了靠近腿部指甲反旋转手术 (PFNA) 后的生存期.
科学领域:
- 整形外科手术 整形外科手术
- 腎臟病學 (nephrology) 是一種醫學.
- 老年病的医生 老年病的医生
背景情况:
- 胸腔间骨折在老年人中很常见.
- 慢性病 (CKD) 是这一群体中普遍存在的并发症.
- 在CKD患者中部骨折的手术结果需要进一步调查.
研究的目的:
- 评估CKD各个阶段的胸腔间骨折患者的9年生存率.
- 为了确定靠近腿部指甲反旋转手术 (PFNA) 后的死亡风险因素.
- 基于CKD阶段的生存时间进行比较.
主要方法:
- 对443名接受PFNA治疗的老年患者进行了回顾性分析.
- 卡普兰-梅尔生存分析按CKD阶段分层.
- 多变量回归分析以确定死亡风险因素.
主要成果:
- 总体中位生存时间为7.1年.
- 在CKD各个阶段观察到生存的显著差异,特别是在CKD第5阶段 (中位生存时间为3.3年,死亡率为17.4%).
- 与心脏病相关的死亡率增加,手术时间>60分钟,肺栓塞和哈里斯部得分差.
结论:
- 五期CKD是增加死亡率和减少PFNA后的生存时间的显著预测因素,用于trochanteric骨折.
- 风险分层和长期护理计划对于高风险患者至关重要.
- 建议采用涉及医疗保健提供者和家庭的多学科护理.
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