[患者年龄作为股骨粗隆骨折骨折类型和术后死亡率的预测因子]。

Harefuah Pub Date : 2025-04-01
Tal Frenkel Rutenberg, Kirstine Husum Hoyem, Shai Shemesh, Yona Kosashvili
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引用次数: 0

摘要

简介:脆性髋部骨折是老年人发病和死亡的主要原因。这些骨折有一半发生在转子间区。目的:探讨患者年龄与股骨粗隆间骨折类型的相关性,以及患者年龄、骨折类型与术后1年死亡风险的相关性。方法:对Kaplan医疗中心2010-2013年间接受股骨粗隆间骨折植骨术的患者进行回顾性队列研究。收集人口统计学数据,包括1年生存率。对患者的x线影像进行分析,并根据AO分类系统和骨折稳定性对骨折进行分类。使用回归模型评估患者年龄与骨折类型之间的相关性以及1年生存率的预测因子。结果:总体而言,644例患者在研究期间接受了治疗,其中544例符合纳入标准。患者年龄与骨折AO分型及骨折稳定性均无相关性。男性性别和年龄与死亡风险增加有关,男性死亡率的OR为1.77 (95% CI 1.079- 2.603, p = 0.022),每增加一年死亡率增加8.3%。结论:患者的年龄与骨折类型和稳定性无关。年龄和男性增加与手术后1年生存率降低有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[PATIENTS' AGE AS A PREDICTOR FOR FRACTURE PATTERN AND POST-OPERATIVE MORTALITY IN PERTROCHANTERIC FRACTURES].

Introduction: Fragility hip fractures are a major cause for morbidity and mortality in the elderly population. Half of these fractures occur in the intertrochanteric area.

Aims: To evaluate the correlation between the patients' age and the intertrochanteric fracture pattern, as well as the correlation between the patients' age, fracture pattern and the risk for 1-year post-operative mortality.

Methods: A retrospective cohort study of patients who underwent osteosynthesis for intertrochanteric fractures in the Kaplan Medical Center between 2010-2013. Demographic data, including 1-year survival was gathered. An analysis of patients X-ray imaging at presentation was performed and fractures were classified according to the AO classification system and for fracture stability. A regression model was used to evaluate for the correlation between patients' age and fracture patterns and for predictors of 1-year survival.

Results: Overall, 644 patients were treated during the study period, of whom 544 met the inclusion criteria. Patients' age did not correlate either with the fractures AO classification or with fracture stability. Male sex and age were found to relate with increased mortality risk, as men have OR of 1.77 for mortality (95% CI 1.079- 2.603, p.= 0.022) and each additional year increased mortality by 8.3%.

Conclusions: The patients' age did not correlate with fracture pattern and stability. Increasing age and male sex were found to be associated with reduced 1-year survival following surgery.

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