髋部骨折患者骨科治疗的初步结果：对功能恢复和生存的影响

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-05-30 DOI:10.1016/j.regg.2025.101676

Hanadi Al Hamad , Navas Nadukkandiyil , Jorge Luis Passarelli , Shirmila Syamala , Renan Elsadeg , Malaz Sifeeldin Musa , Brijesh Sathian , Al Anoud Ali H.Z. Al Fehaidi , Ahmad Musa Musallam , Francisco José Tarazona-Santabalbina

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引用次数: 0

摘要

骨科单位已经证明了因髋部骨折住院的老年人的功能恢复和生存率的改善。本研究的目的是介绍哈马德医疗公司（卡塔尔多哈）外科专业中心跨学科骨科活动的初步结果。方法设计一项前瞻性观察研究，评估2022 - 2024年髋部骨折患者骨科单元的活动情况。结果入选100例患者，平均年龄74.2 （SD 7.8）岁，男性占57%，平均年龄校正Charlson合并症指数（CCI）为4.4 （SD 1.7）。手术延迟为1.8 （SD 3.4）天，只有16%的患者在48小时以上接受手术。入组患者的住院时间（LOS）为15.8 （SD 23.1）天。在功能恢复方面，Barthel指数（BI）评分从入院第一天的34.8 （SD 14.8）分显著上升至出院时的55.7（20.5）分，p <；0.001;相对功能增益为38.5% (SD 34.3%) %，康复效率（Heinemann指数大于50%）为34.5%。出院后6个月计算的Heinemann指数显示，总样本的康复效率为60%。只有1例（1%）患者在医院死亡，3例（6%）患者在6个月时死亡。Cox回归分析显示，CCI和LOS增加了死亡风险，而BI评分降低了死亡风险。结论在卡塔尔引进一个跨学科的骨科团队，改善了患者的营养状况、功能恢复和生存率。

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Preliminary results of orthogeriatric management in patients with hip fracture: Impact on functional recovery and survival

Introduction

Orthogeriatric units have demonstrated improvements in functional recovery and survival in older adults hospitalised for hip fracture. The aim of this study is to present preliminary results of the interdisciplinary orthogeriatric activity at the Surgical Specialty Centre, Hamad Medical Corporation (Doha, Qatar).

Methods

A prospective observational study was designed to evaluate the activity of the orthogeriatric unit in hip fracture patients between 2022 and 2024.

Results

100 patients were recruited with a mean age of 74.2 (SD 7.8) years, 57% were men, and a mean age-adjusted Charlson comorbidity index (CCI) of 4.4 (SD 1.7). Surgical delay was 1.8 (SD 3.4) days, with only 16% of the total undergoing surgery in more than 48 h. The length of stay (LOS) of the enrolled sample was 15.8 (SD 23.1) days. In terms of functional recovery, the Barthel Index (BI) score increased significantly from 34.8 (SD 14.8) points on the first day of hospital admission to 55.7 (20.5) points at discharge, p < 0.001; with a relative functional gain of 38.5 (SD 34.3) % and a rehabilitation efficiency (Heinemann Index above 50%) of 34.5%. The Heinemann Index calculated six months after discharge showed a rehabilitation efficiency of 60% of the total sample. Only one patient (1%) died in hospital and 3 (6%) had died at 6 months. Cox regression showed that CCI and LOS increased the risk of mortality, whereas BI score decreased it.

Conclusions

The introduction of an interdisciplinary orthogeriatric team in Qatar led to improvements in nutritional status, functional recovery and survival.

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来源期刊

Revista Espanola de Geriatria y Gerontologia Medicine-Medicine (miscellaneous)

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

85 days

期刊介绍： Una revista de gran prestigio por sus artículos originales de investigación y revisiones. Permite cubrir todas las áreas de la medicina pero siempre desde la atención al paciente anciano, y está presente en los más reconocidos índices internacionales.