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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 9 (9page)
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Background: Because acute cholecystitis in elderly hip fracture is not easily distinguishable from other gastrointestinal symptoms and involves atypical clinical behaviors, it may not be diagnosed in the early stage. However, the exact incidences could not be reported. We utilized data from a nationwide claims database and attempted to assess the incidence of acute cholecystitis in elderly hip fracture patients and how cholecystitis affects mortality rates after hip fracture. Methods: Study subjects were from the Korean National Health Insurance Service-Senior cohort. From a population of approximately 5.5 million Korean enrollees > 60 years of age in 2002, a total of 588,147 participants were randomly selected using 10% simple random sampling. The subjects included in this study were those who were over 65 years old and underwent surgery for hip fractures. Results: A total of 15,210 patients were enrolled in the cohort as hip fracture patients. There were 7,888 cases (51.9%) of femoral neck fracture and 7,443 (48.9%) cases of hemiarthroplasty. Thirty-six patients developed acute cholecystitis within 30 days after the index date (30-day cumulative incidence, 0.24%). Four of the 36 acute cholecystitis patients (11.1%) died within 30 days versus 2.92% of patients without acute cholecystitis. In the multivariate-adjusted Poisson regression model, hip fracture patients with incident acute cholecystitis were 4.35 (adjusted risk ratio 4.35; 95% confidence interval, 1.66–11.37; P = 0.003) times more likely to die within 30 days than those without acute cholecystitis. Conclusion: Incidence of acute cholecystitis in elderly patients after hip fracture within 30 days after the index date was 0.24%. Acute cholecystitis in elderly hip fracture patients dramatically increases the 30-day mortality rate by 4.35-fold. Therefore, early disease detection and management are crucial for patients.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Deleanu B / 2014 / Acute abdominal complications following hip surgery / Chirurgia(Bucur) 109(2):218~222
Yarmish GM / 2014 / ACR appropriateness criteria right upper quadrant pain / J Am Coll Radiol 11(3):316~322
Abrahamson J / 1988 / Acute cholecystitis after orthopaedic operations / Int Orthop 12(1):93~95
Lee SH / 1986 / Post-traumatic and post-operative cholecystitis in Korea / Ann Surg Treat Res 30(2):149~156
Ottinger LW / 1976 / Acute cholecystitis as a postoperative complication / Ann Surg 184(2):162~165
Yarmish GM / 2014 / ACR appropriateness criteria right upper quadrant pain / J Am Coll Radiol 11(3):316~322
Abrahamson J / 1988 / Acute cholecystitis after orthopaedic operations / Int Orthop 12(1):93~95
Lee SH / 1986 / Post-traumatic and post-operative cholecystitis in Korea / Ann Surg Treat Res 30(2):149~156
Ottinger LW / 1976 / Acute cholecystitis as a postoperative complication / Ann Surg 184(2):162~165
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