65岁以上患者的圣体U型骨折
Avrey A Novak1, Joseph T Patterson, Michael F Githens
1From the Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA (Dr. Novak, Dr. Githens, Dr. Firoozabadi, and Dr. Kleweno), Department of Orthopedic Surgery, University of Southern California, Los Angeles, CA (Dr. Patterson).
概括
患有圣骨U型骨折的老年患者经历了显著的残疾和死亡率. 许多人无法返回家园,需要移动辅助工具,无论伤害的能量水平如何.
科学领域:
- 整形外科手术 整形外科手术
- 老年创伤患者的创伤
- 圣骨骨折的管理 圣骨骨折的管理
背景情况:
- 圣体U型骨折在老年人群中是一个重大问题.
- 了解残疾负担对于有效的患者护理至关重要.
研究的目的:
- 为了评估老年患者经历的骨U型骨折的残疾程度.
- 确定影响该患者群体结果的因素.
主要方法:
- 65岁以上的患有圣骨U型骨折的患者的回顾性审查 (2013-2019).
- 收集的数据包括人口统计,治疗,伤害前状态和神经缺陷.
- 评估结果:死亡率,回到受伤前的住所,以及使用移动辅助工具.
主要成果:
- 地平面下跌是最常见的伤害机制 (60.8%).
- 手术治疗 (74%) 通常涉及封闭的皮肤穿固定.
- 观察到高死亡率 (13%),无法返回家园 (45%) 和增加了对移动援助的依赖 (58%).
- 延迟呈现与更高的步行辅助器的需求相关 (73%对47%).
结论:
- 老年人的圣体U型骨折导致大量的发病率和死亡率.
- 无论创伤机制是高能量的还是低能量的,残疾都是重要的.
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