Predictive prognostic factors in patients with proximal humeral fracture treated with reverse shoulder arthroplasty.

IF 4.7 3区物理与天体物理 Q1 ASTRONOMY & ASTROPHYSICS

Monthly Notices of the Royal Astronomical Society Pub Date : 2024-10-01 Epub Date: 2023-06-27 DOI:10.1177/17585732231185099

Nur Canbolat, Serkan Bayram, Yaşar Samet Gökçeoğlu, Okan Tezgel, Mehmet Kapicioğlu, Ali Erşen, Kerem Bilsel, Mehmet İlke Büget

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引用次数: 0

Abstract

Background: We aimed to evaluate the predictive determitants in patients with PHF who were treated with reverse shoulder arthroplasty (RSA) by evaluating the patient characteristics and comorbidities and extensive preoperative laboratory parameters.

Methods: With examining the records of elderly patients (over 65 years old) with PHF, who were admitted to our emergency department between 2009 and 2020. For evaluation of the survival, we performed Kaplan-Meirer statistical anaylses. A Cox algorithms (uni and multivariate) were applied to recognize factors (including clinical and laboratory parameters) which are associated with survival.

Results: Sixty-three females and 17 males were included with a mean of 73.5 ± 7.4 years of age. Nineteen (23.83%) patients had decreased after the surgery, with a mean survival of 47.5 ± 32.7 months. There were 61 (76.3%) surviving patients with a mean survival of 67.4 ± 35.4 months. Survival rates in the first 6 months (n: 2 patients), first year (n: 3 patients), and second year (n: 6 patients) after surgery were 97.5%, 96.3%, and 92.3%, respectively.

Conclusion: The age and preoperative hemoglobin level were independently related with poor survival in patients with PHF.

Level of evidence: Level III Retrospective Cohort, Prognosis Study.

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反向肩关节置换术治疗肱骨近端骨折患者的预后预测因素。

背景：我们的目的是通过评估患者特征、合并症和大量术前实验室参数，评估对接受反向肩关节置换术（RSA）治疗的 PHF 患者的预测性决定因素：对2009年至2020年间急诊科收治的PHF老年患者（65岁以上）的病历进行研究。为了评估存活率，我们进行了 Kaplan-Meirer 统计分析。我们采用 Cox 算法（单变量和多变量）来识别与存活率相关的因素（包括临床和实验室参数）：63名女性和17名男性患者的平均年龄为（73.5 ± 7.4）岁。19例（23.83%）患者术后病情有所减轻，平均存活时间为（47.5 ± 32.7）个月。存活患者有 61 人（76.3%），平均存活时间为（67.4 ± 35.4）个月。术后前 6 个月（2 例）、第一年（3 例）和第二年（6 例）的存活率分别为 97.5%、96.3% 和 92.3%：结论：年龄和术前血红蛋白水平与 PHF 患者的不良生存率密切相关：III级回顾性队列、预后研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Monthly Notices of the Royal Astronomical Society ASTRONOMY & ASTROPHYSICS-

CiteScore

9.10

自引率

37.50%

发文量

3198

审稿时长

3 months

期刊介绍： Monthly Notices of the Royal Astronomical Society is one of the world''s leading primary research journals in astronomy and astrophysics, as well as one of the longest established. It publishes the results of original research in positional and dynamical astronomy, astrophysics, radio astronomy, cosmology, space research and the design of astronomical instruments.