老年典型的特征复合体预测了老年患者近腰骨折的短期结果
Jan-Philipp Happe1, J Christoph Katthagen1, Karen Fischhuber2
1Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
老年典型多病症 (GTMM) 对近腰骨折 (PHF) 患者的结果产生负面影响. 诸如认知缺陷,失禁和营养不良等疾病会增加死亡率和不良事件.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 患者研究成果研究结果
背景情况:
- 老年典型多病症 (GTMM) 描述了老年人的多重老年综合征.
- GTMM对近腰骨折 (PHF) 结果的影响尚不清楚.
- 为PHF患者优化老年护理策略需要了解GTMM的影响.
研究的目的:
- 评估GTMM对PHF患者在骨折后三个月内结果的影响.
- 确定影响PHF患者预后的特定GTMM组件.
- 为改善PHF管理的老年护理协议提供信息.
主要方法:
- 从2011-2022年对65岁以上PHF患者进行的回顾性队列研究 (ICD S42.2)
- 骨折前两年内评估的GTMM;患者按手术 (RTSA,LPF,sLPF,其他) 或非手术管理分组.
- 多变量Cox危险模型分析了GTMM,治疗组和3个月后的结果 (并发症,MAE,TE,死亡率) 之间的关联.
主要成果:
- 确定了95,324名PHF患者;43%是外科手术,中位数年龄为79岁,70%是老年人.
- 三个月死亡率:4.3%;MAE:7.1%;TE:5.6%. 死亡率:4.3%;MAE:7.1%;TE:5.6% .
- 在手术治疗患者中,GTMM认知缺陷独立预测了更糟糕的结果. 失禁和营养不良增加了所有患者的死亡率,MAE和TE率 (p <0.05).
结论:
- GTMM是与PHF患者的较差结果相关的显著风险因素,无论治疗方式如何.
- 特定的GTMM组件,包括认知缺陷,失禁,腹和营养不良,显著增加不良事件的发生率.
- 研究结果强调需要对PHF患者进行全面的老年病学评估和管理.
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