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开放式和封闭式老年关骨折后的外科外科结局:一项大型,倾向匹配的队列研究

Logan M Good¹, Alexander N Berk¹, Cyrus Eghtedari²

¹University Hospitals Cleveland Medical Center, Department of Orthopaedic Surgery, 11100 Euclid Ave, Cleveland, OH 44106, USA; The MetroHealth System, Department of Orthopaedics, 2500 Metrohealth Dr, Cleveland, OH 44109, USA; Case Western Reserve University School of Medicine, 9501 Euclid Ave, Cleveland, OH 44106, USA.

|November 5, 2025

概括

与关闭骨折患者相比,患有开放脚骨折的老年患者面临更高的死亡风险和诸如深静脉血栓,败血症和再住院等并发症. 对这些患者来说,加强预防性护理至关重要.

科学领域:

整形外科手术整形外科手术
老年医学老年医学
创伤护理创伤护理

背景情况:

患有开放脚骨折的老年患者的治疗结果较差.
对于开放式和封闭式老年脚骨折之间的手术结果存在有限的比较数据.

研究的目的:

调查老年患者手术治疗的公开和闭合脚骨折之间的术后并发症和死亡率的差异.

主要方法:

一项使用TrinetX美国协作网络数据库 (2014-2024) 的回顾性队列研究.
65岁以上的确诊患者手术治疗,分离开放或关闭的脚骨折.
利用1:1倾向匹配来比较两组之间的并发症和死亡率.

主要成果:

开放的脚骨折与早期 (<30天) 和延迟 (90天至1年) 并发症的显着较高率有关,包括深静脉血栓症 (DVT),心肌梗塞 (MI),败血症,肺炎,急性损伤 (AKI) 和手术部位感染 (SSI).
开放性骨折也显示了深度感染,膝下截肢 (BKA),急诊室访问和再住院的增加率.
90天,180天和1年后的死亡率在开放的脚骨折队列中显著更高,特别是在双骨和三骨折中.

结论:

开放的老年脚骨折,无论形态如何,都与较高的死亡率和术后并发症率有关.
研究结果强调需要改善外科手术前咨询和预防策略,以改善老年患者的可修改风险因素,这些患者接受了开放脚骨折手术.

关键词:

老年人的脚骨折是什么?死亡率死亡率死亡率开放的脚骨折在脚骨折.术后并发症术后并发症

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