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百岁以上的近腰骨折患者的死亡风险因素

Roberto Casadei¹, Marcello Lughi², Claudio Perini²

¹Orthopaedic and Traumatology Department, Morgagni-Pierantoni Hospital, Via Carlo Forlanini 34, 47121, Forli, FC, Italy. roberto.casadei@auslromagna.it.

Musculoskeletal surgery

|March 6, 2025

概括

百岁老人的近腰大腿骨折与高死亡率有关. 严重的贫血和入院时功能状况不佳是死亡率的关键预测因素,强调需要及时纠正贫血和功能评估.

科学领域:

老年医学老年医学
整形外科手术整形外科手术
创伤外科手术创伤外科

背景情况:

百岁以上的人口正在增长,导致近端大腿骨骨折 (PFFs) 的增加.
百岁老人中的PFF显著影响生活质量,导致高发病率,死亡率和医疗保健成本.
识别手术前风险因素对于管理这一年龄组的PFF至关重要.

研究的目的:

确定近接大腿骨骨折的百岁老年患者死亡的术前风险因素.
评估接受PFF治疗的百岁老人手术结果和生存相关因素.

主要方法:

分析了33名在2010-2020年间接受PFF治疗的百岁老年患者队列.
评估死亡风险因素使用日志等级测试和单变量/多变量考克斯回归.
使用STATA 17.0进行统计分析,显著水平为P < 0.05.

主要成果:

男性性别,严重贫血和入院时低的功能行走类别 (FAC) 评分 (<3) 是死亡率的显著预测因素.
术后并发症包括中度贫血 (45%),严重痴呆 (18%) 和妄想 (30%).
免费后,职能状况明显下降,其中27%在一个月内被重新录取.

结论:

贫血是百岁PFF患者的显著死亡预测因素,需要及时纠正.
老年和功能评分,特别是FAC,提供准确的预后见解.
百岁的PFF患者中很大一部分人无法恢复骨折前的独立性,这表明预后不佳.

关键词:

百岁老人是一百岁老人.老年人分数的成绩是什么?部骨折部骨折部骨折风险因素风险因素风险因素

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