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部骨折模式,医院疗程和死亡率在男性和女性之间有所不同

Stephen A Doxey^1,2, Kendra Kibble³, Rebekah M Kleinsmith^1,2

¹Department of Orthopaedic Surgery, TRIA Orthopaedic Institute, Bloomington, MN, USA.

Geriatric orthopaedic surgery & rehabilitation

|October 18, 2024

概括

这项研究发现,男性和女性患者的部骨折模式,住院时间和治疗结果存在显著差异. 男性的再入院率和死亡率更高,这表明每个性别都有不同的影响.

科学领域:

整形外科整形外科整形外科
老年医学老年医学
流行病学流行病学

背景情况:

部骨折不成比例地影响到老年人,性别之间的模式和结果各不相同.
了解这些基于性别的差异对于优化患者护理和康复至关重要.

研究的目的:

研究和描述关节骨折对男性和女性患者的影响差异.
为了比较骨折模式,医院过程和性别之间的术后结果.

主要方法:

回顾2996名关节骨折患者 (年龄大于59岁) 进行手术治疗的病例系列.
1:2 根据年龄和查尔森并发症指数 (CCI) 的男性和女性患者的近邻匹配.
对AO/OTA骨折分类,30/90天再入院和30天/1年死亡率的分析.

主要成果:

女性更有可能维持31A型骨折 (P=.016).
男性的平均CCI (3.0对2.6,P<.001) 较高,30天 (P<.001) 和90天 (P=.015) 的再入院增加,30天 (P=.015) 和1年 (P<.001) 的死亡率更高.
男性的手术平均时间较长 (23.8h vs 22.5h,P=.048),接受手术的男性>24h的1年死亡率较高 (P=.029).

结论:

男性和女性关节骨折患者在基线健康,骨折模式和术后结果中表现出显著的差异.
对这些性别差异的认识对于整形老年医生来说至关重要,以定制治疗策略并有效地管理患者的期望.

关键词:

老年人的医疗服务部骨折骨折部骨折部骨折登记处的注册表可以看到.一个创伤的创伤创伤.

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