骨盆脆性骨折住院时间及并发症发生率的影响因素。

IF 2.2 3区 医学 Q2 EMERGENCY MEDICINE
Andreas Termer, Olga Ruban, Anica Herlyn, Tim Fülling, Philip Gierer
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引用次数: 0

摘要

目的:易碎性骨盆环骨折(FFP)发病率的增加是由人口统计学驱动的。分析患者群体、影响总住院时间(LoS)的因素以及并发症等终点对于更好地理解和治疗FFP损伤至关重要。方法:回顾性数据分析包括2018年1月至2022年12月期间接受FFP治疗的所有住院患者。排除年龄小于65岁、高能创伤、髋臼骨折或病理性骨折的患者。收集的数据包括人口统计数据以及合并症、诊断、治疗、LoS和并发症的信息。结果:共纳入363例患者,其中男性52例(14%),女性311例(86%)。平均年龄84.4±6.6岁。而31.1% (n = 113)的患者在出现症状前无需帮助即可活动,但有显著性差异(p)。结论:FFP类型越高,并发症数量越多,手术治疗和MRI诊断延长了总LoS。FFP IV和手术治疗并发症发生率较高。通过确定影响住院时间的具体因素,进一步的前瞻性研究可能会通过优化这些因素来改善并发症/死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influencing factors for fragility fractures of the pelvis on length of stay and complication rate.

Purpose: Increasing incidence of fragility pelvic ring fractures (FFP) is driven by demographic. An analysis of the patient population, along with the factors influencing total length of stay (LoS), and endpoints such as complications is essential for a better understanding and treatment of FFP injuries.

Methods: This retrospective data analysis includes all inpatients treated from January 2018 to December 2022, with an FFP. Excluded were patients < 65 years, high-energy trauma, acetabular fractures, or pathological fractures. Collected data included demographics as well as information about comorbidities, diagnostics, therapy, LoS and complications.

Results: A total of 363 patients were included, of which 14% (n = 52) were male and 86% (n = 311) female. The average age was 84.4 ± 6.6 years. While 31.1% (n = 113) were mobile without aid before onset of symptoms there was a significant (p < 0.01) decrease to 5.2% (n = 19) at discharge. Only 43.8% (n = 159) remained self-dependent at discharge, compared to 62.3% (n = 226) before injury (p < 0.01). Significantly longer LoS was found with higher FFP types (p < 0.01), higher number of complications (p < 0.01) as well as operative treatment (p < 0.01) and MRI diagnostics (p < 0.01). A significant increase on the number of complications was found with FFP IV (p = 0.02) and operative treatment (p < 0.01).

Conclusion: Higher FFP types, higher number of complications, as well as operative treatment and MRI diagnostics prolonged the total LoS. FFP IV and operative treatment were associated with higher number of complications. By identifying specific factors influencing the inpatient stay, further prospective studies may show improved complication/ mortality rates by optimizing those factors.

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来源期刊
CiteScore
4.50
自引率
14.30%
发文量
311
审稿时长
3 months
期刊介绍: The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries. Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.
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