术后承重状态与老年偏远大腿骨骨折后的患者死亡率无关
Justin M Haller1, Christopher Lee, Dane Brodke
1From the Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT (Haller and Marchand), the Department of Orthopedic Surgery, University of California, Los Angeles, Los Angeles, CA (Lee), the Department of Orthopedic Surgery, Oregon Health Science University, Portland, OR (Brodke, DeKeyser, and Working), the Department of Orthopedic Surgery, Virginia Commonwealth University, Richmond, VA (Perdue), Division Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, UT (Zhang), the Department of Orthopedic Surgery, University of California, San Francisco, San Francisco, CA (El Naga), the Department of Orthopedic Surgery, University of California, Los Angeles-Harbor, Los Angeles, CA (Shymon and Fairres), the Department of Orthopedic Surgery, University of Mississippi, Jackson, MS (Walters, Gillon, and Morellato), the Department of Orthopedic Surgery, Baylor University, Houston, TX (Atassi), and the Department of Orthopedic Surgery, University of Maryland, Baltimore, MD (O'Toole).
距离大腿骨骨折手术后立即举重不会影响死亡率或并发症. 这项研究发现,在90天内,体重状态和患者的结果之间没有联系.
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
- 重建性手术是一种重建性手术.
背景情况:
- 距离大腿骨骨折在老年患者中很常见.
- 手术后的承重状态是恢复的关键因素.
- 关于立即权重对这一群体结果的影响的数据有限.
研究的目的:
- 为了研究立即承重 (WB) 对老年骨骨折患者的死亡率的影响.
- 确定WB状态对手术并发症和90天的门诊能力的影响.
主要方法:
- 对经过手术固定的患有远部大腿骨骨折 (OTA/AO 33 A, 33C) 的老年患者 (>60岁) 的回顾性评估.
- 在非承重组 (NWB) 和承重组 (WB) 之间比较结果 (死亡率,90天的行走能力,手术并发症).
- 倾向权重回归分析用于控制混变量.
主要成果:
- 没有发现WB和死亡率之间的联系 (HR,1.50;P = 0.24).
- 没有观察到WB和深层感染 (HR,2.86;P = 0.10) 或非联合手术 (HR,1.7;P = 0.23) 之间有显著的关联.
- 在90天内没有发现WB和出行能力之间的关联 (OR,1.48;P = 0.35).
结论:
- 处方术后承重状态显示没有与患者死亡率的关联.
- 举重状态与重复手术或90天内外行能力受损无关.
- 研究结果表明,目前的承重协议可能会为老年偏远大腿骨骨折患者进行调整.
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