年年老年人部骨折死亡率何时恢复到基线?
Joseph Bernstein1,2, Alexander Lee2, Jaimo Ahn3,4
1Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia, PA, United States.
Frontiers in surgery
|November 11, 2024
概括
老年人关节骨折患者面临十年的高死亡风险,每年20%的死亡率在初始损伤后很长时间内持续存在. 这凸显了骨骨折对老年人的严重,长期影响.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 老年人关节骨折与高死亡率有关.
- 与普通人群相比,关节骨折患者的长期生存轨迹尚不清楚.
- 评估这一时间表对于了解疾病负担和告知治疗策略至关重要.
研究的目的:
- 确定老年关节骨折患者的死亡率是否以及何时恢复到人口基线.
- 为了将老年关节骨折后的死亡率与人口标准进行比较.
- 量化与老年人部骨折相关的长期死亡风险.
主要方法:
- 在VA医疗保健系统中分析了一组17,868名65-89岁的关节骨折的男性患者.
- 在骨折后的10年内,每年评估年龄特定的生存率.
- 创建了一个虚拟对照队列,以反映患者组的年龄分布以进行比较.
主要成果:
- 骨折患者的一年死亡率为35.4%,对照组为6.3%.
- 到第十年,只有8.5%的骨折患者存活下来,而一般人群中这一比例为39.8%.
- 在第一年生存的患者面临着持续的19%-21%的年死亡风险至少十年.
结论:
- 老年关节骨折患者在受伤后至少10年内,每年死亡风险持续上升约20%.
- 这种高风险明显超过了人口规范,并在急性阶段之后持续很长时间.
- 仅关注短期生存率 (1-2年) 可能会低估老年骨折的长期严重程度和影响.
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