红细胞分布宽度是中年和老年人部骨折的短期死亡率预测因素
Xiao-Feng Liu1,2, Yong-Qiang Zheng1,2, Liang Lin1,2
1Department of Orthopedics, Jinjiang Municipal Hospital (Shanghai Sixth People's Hospital Fujian), Quanzhou, 362000, Fujian, China.
BMC musculoskeletal disorders
|March 15, 2025
概括
红细胞分布宽度 (RDW) 与关节骨折患者的死亡率较高有关. 较高的RDW水平表明,骨骨折的老年人在一年内死亡的风险增加.
科学领域:
- 老年医学 老年医学
- 血液学 血液学 血液学
- 整形外科手术 整形外科手术
背景情况:
- 部骨折是中年和老年人患病和死亡的重要原因.
- 红细胞分布宽度 (RDW) 是红细胞大小变化的度量,在各种临床条件下经常升高.
研究的目的:
- 为了研究红细胞分布宽度 (RDW) 与50岁以上患者的关节骨折后的短期死亡率之间的关联.
- 确定入院时的RDW水平是否可以预测部骨折患者的死亡风险.
主要方法:
- 对233名年龄大于50岁的部骨折患者进行了回顾性队列研究.
- 2020-2021年电子病历分析,包括人口统计,并发病,RDW水平和3,6个月和12个月的死亡率.
- 患者被分为低 (RDW<13.6%) 和高 (RDW≥13.6%) 的RDW组.
主要成果:
- 患者的平均年龄为78.03岁,其中64.81%为女性.
- 患有高RDW的患者 (34.33%) 与患有低RDW的患者 (65.67%) 相比,并发病率显著增加.
- 在3,6和12个月的全因死亡率在高RDW组显著更高.
结论:
- 红细胞分布宽度 (RDW) 是部骨折患者短期死亡率的重要预测指标.
- 较高的RDW水平与部骨折后死亡风险增加有关.
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