[翻译文章] 老年人同时骨折上肢和部骨折:我们中心的经验
Laura Del Baño-Barragán1, Álvaro Martínez-García1, Daniel Garríguez-Pérez1
1Departamento de Cirugía Ortopédica y Traumatología. Hospital Clínico San Carlos, Planta 5, Ala Sur. Calle Profesor Martín Lagos s/n, 28004, Madrid, España; Departamento de Ortogeriatría. Hospital Clínico San Carlos, Planta 8, Ala Norte. Calle Profesor Martín Lagos s/n, 28004, Madrid, España.
Revista espanola de cirugia ortopedica y traumatologia
|February 21, 2025
概括
患有部骨折和额外上肢骨折的老年患者面临更长的住院时间和更高的住院死亡率. 这些同时发生的骨折也会导致短期功能恢复较差,降低返回家园的可能性.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
背景情况:
- 在老年人群中,部骨折的发生率正在增加.
- 同时的上肢骨折可以与部骨折一起发生.
- 同时上肢骨折对老年关节骨折患者的影响还不清楚.
研究的目的:
- 为了研究功能性结果,住院时间和老年患者的死亡率,这些老年患者患有部骨折和同时出现的上肢骨折.
- 为了将这些结果与老年患者与孤立的部骨折进行比较.
主要方法:
- 对1088名患有关节骨折的老年患者的回顾性审查 (2017年1月 - 2020年3月).
- 分析患者数据,包括人口统计,骨折类型,治疗,住院时间,住院死亡率和功能状态.
- 与同时出现上肢骨折的患者和没有同时出现上肢骨折的患者之间的比较.
主要成果:
- 63名患者 (5.6%) 同时出现上肢骨折,主要是远半径或近腰骨.
- 患有并发骨折的患者在医院住院时间明显长 (19.6 vs 12.8天,p=0.002).
- 同时的骨折与增加的住院死亡率 (9.5%与5.9%,p=0.003) 和较低的回家率 (23.6%与26.3%,p=0.042) 相关.
结论:
- 在老年关节骨折患者中,同时出现上肢骨折会导致长时间住院治疗.
- 这些患者在住院死亡的风险更高.
- 短期的功能恢复受到损害,降低了出院到家的可能性.
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