老年人部骨折与近端上肢骨折增加了发病率和死亡率
Zachary Jodoin1, Travis Kotzur1, Aaron Singh1
1University of Texas Health Science Center San Antonio, San Antonio, TX.
OTA international : the open access journal of orthopaedic trauma
|February 24, 2025
概括
部骨折与上肢骨折增加死亡率,并发症和成本. 靠近骨折 (肩膀,大腿骨) 构成最高风险,与远端骨折 (前臂,手) 不同.
科学领域:
- 整形外科手术 整形外科手术
- 老年创伤的治疗方法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关节骨折是老年人群中疾病和死亡的一个重要原因.
- 同时的上肢骨折可能会加剧部骨折手术后的结果.
研究的目的:
- 调查同时发生的上肢骨折对患有部骨折的患者30天医疗,手术和医院相关结果的影响.
- 根据上肢骨折的位置进行子组分析.
主要方法:
- 国家再接收数据库的回顾性审查.
- 用国际疾病分类第十版代码识别老年骨折患者.
- 同时发生的上肢骨折的分类为肩带,手腕,前臂或手.
主要成果:
- 与仅仅部骨折患者 (n=367,007) 相比,患有部骨折和同时患上上肢骨折的患者 (n=19,852) 的死亡率,停留时间,成本和并发症增加 (n=367,007).
- 总体死亡率增加了41%. 靠近上肢骨折 (肩膀,手臂) 与住院死亡率增加77%-83%有关.
- 前臂和手部骨折没有显著改变死亡风险. 靠近骨折也增加了医疗并发症的风险.
结论:
- 同时的上肢骨折,特别是近端骨折,显著恶化了老年骨折患者的结果.
- 这些发现强调了外科医生需要考虑这些增加的风险进行预后咨询,并可能探索针对上肢损伤的有针对性的干预措施,以优化恢复.
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