지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 746 - 752 (7page)
이용수
초록· 키워드
오류제보하기
Study Design: Retrospective cohort study. Purpose: The aim of this study was to identify features associated with increased mortality risk in traumatic C2 fractures in the elderly, including measures of comorbidity and frailty. Overview of Literature: C2 fractures in the elderly are of increasing relevance in the setting of an aging global population and have a high mortality rate. Previous analyzes of risk factors for mortality have not included the measures of comorbidity and/or frailty, and no local data have been reported to date. Methods: This study comprises a retrospective review of 70 patients of age >65 years at Waikato Hospital, New Zealand with traumatic C2 fractures identified on computed tomography between 2010 and 2016. Demographic details, medical history, laboratory results on admission, mechanism of injury, and neurological status on presentation were recorded. Medical comorbidities were also detailed allowing calculation of the Charlson Comorbidity Index (CCI) and the modified Frailty Index (mFI). Results: The most common mechanism of injury was a fall from standing height (n=52, 74.3%). Mortality rates were 14.3% (n=10) at day 30, and 35.7% (n=25) at 1 year. Bivariate analysis showed that both CCI and mFI correlated with 1-year mortality rates. Reduced albumin and hemoglobin levels were also associated with 30-day and 1-year mortality rates. Forward stepwise logistic regression models determined CCI and low hemoglobin as predictors of mortality within 30 days, whereas CCI, low albumin, increased age, and female gender predicted mortality at 1 year. Conclusions: The CCI was a useful tool for predicting mortality at 1 year in the patient cohort. Other variables, including common laboratory markers, can also be used for risk stratification, to initiate timely multidisciplinary management, and prognostic counseling for patients and family members.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Ryan MD / 1992 / The epidemiology of fractures and fracture-dislocations of the cervical spine / Injury 23:38~40
Venkatesan M / 2014 / Survival analysis of elderly patients with a fracture of the odontoid peg / Bone Joint J 96-B:88~93
Bajada S / 2017 / Predictors of mortality following conservatively managed fractures of the odontoid in elderly patients / Bone Joint J 99-B:116~121
Tashjian RZ / 2006 / Halo-vest immobilization increases early morbidity and mortality in elderly odontoid fractures / J Trauma 60:199~203
Kirkland LL / 2011 / The Charlson Comorbidity Index score as a predictor of 30-day mortality after hip fracture surgery / Am J Med Qual 26:461~467
Venkatesan M / 2014 / Survival analysis of elderly patients with a fracture of the odontoid peg / Bone Joint J 96-B:88~93
Bajada S / 2017 / Predictors of mortality following conservatively managed fractures of the odontoid in elderly patients / Bone Joint J 99-B:116~121
Tashjian RZ / 2006 / Halo-vest immobilization increases early morbidity and mortality in elderly odontoid fractures / J Trauma 60:199~203
Kirkland LL / 2011 / The Charlson Comorbidity Index score as a predictor of 30-day mortality after hip fracture surgery / Am J Med Qual 26:461~467
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Increased Mortality in Young-Onset Parkinson’s Disease
Journal Of Movement Disorders
2021 .09
-
Public-health impact of outdoor air pollution for 2nd air pollution management policy in Seoul metropolitan area, Korea
대한직업환경의학회지
2015 .02
-
노인 고관절 손상 환자의 사망과 합병증에 영향을 미치는 요인
대한응급의학회지
2022 .04
-
Effect of Dementia on Postoperative Mortality in Elderly Patients with Hip Fracture
Journal of Korean Medical Science
2021 .10
-
Estimation of Excess All-cause Mortality during COVID-19 Pandemic in Korea
Journal of Korean Medical Science
2021 .10
-
관상동맥 스텐트를 삽입한 급성 심근경색 환자의 사망 관련 요인에 대한 다수준 분석
대한보건연구
2019 .01
-
Association of Preoperative Risk Factors and Mortality in Older Patients following Emergency Abdominal Surgery: A Retrospective Cohort Study
Annals of geriatric medicine and research
2021 .12
-
Factors Impacting Mortality in Geriatric Patients with Acute Spine Fractures: A 12-Year Study of 613 Patients in Singapore
Asian Spine Journal
2019 .01
-
Cervical Cancer Mortality Trends in China, 1991-2013, and Predictions for the Future
Asian Pacific journal of cancer prevention : APJCP
2015 .01
-
The Association Between Inter-Hospital Transfers and the Prognosis of Pediatric Injury in the Emergency Department
Journal of Korean Medical Science
2024 .01
-
Mortality of Deep Brain Stimulation and Risk Factors in Patients With Parkinson's Disease: A National Cohort Study in Korea
Journal of Korean Medical Science
2023 .01
-
Glycated Hemoglobin and All-Cause Mortality in Korean Type 2 Diabetes
전남의대학술지
2017 .01
-
Is Spinal Surgery Safe for Elderly Patients Aged 80 and Above? Predictors of Mortality and Morbidity in an Asian Population
Neurospine
2019 .01
-
Prediction of COVID-19-related Mortality and 30-Day and 60-Day Survival Probabilities Using a Nomogram
Journal of Korean Medical Science
2021 .09
-
Analysis of mortality risk from Korean hemodialysis registry data 2017
Kidney Research and Clinical Practice
2019 .01
-
Biochemical Markers as Predictors of In-Hospital Mortality in Patients with Severe Trauma: A Retrospective Cohort Study
Acute and Critical Care
2017 .08
-
A Study on the Mortality of Patients with Pelvic Fractures
대한외과학회 학술대회 초록집
2017 .11
-
Identification of risk factors for mortality in COVID-19 patients
Acute and Critical Care
2020 .01
-
Long-term Survival in Korean Elderly Patients with Symptomatic Severe Aortic Stenosis Who Refused Aortic Valve Replacement
Korean Circulation Journal
2019 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0