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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
- 2021.11
- 수록면
- 1 - 9 (9page)
- DOI
- 10.3346/jkms.2021.36.e300
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초록· 키워드
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Background: The purpose of this study was to compare the mortality rate between patients undergoing hemiarthroplasty (HA) and those undergoing total hip arthroplasty (THA) in two age groups: patients aged 65?79 years (non-octogenerian) and patients aged ≥ 80 years (octogenarian).
Methods: We identified elderly (aged ≥ 65 years) femoral neck fracture patients who underwent primary THA or HA from January 1, 2005 to December 31, 2015 in South Korea using the Health Insurance and Review and Assessment database; the nationwide medical claim system of South Korea. We separately compared the mortality rate between the HA group and THA group in two age groups. A generalized estimating equation model with Poisson distribution and logarithmic link function was used to calculate the adjusted risk ratio (aRR) of death according to the type of surgery.
Results: The 3,015 HA patients and 213 THA patients in younger elderly group, and 2,989 HA patients and 96 THA patients in older elderly group were included. In the younger elderly group, the mortality rates were similar between the two groups. In older elderly group, the aRR of death in the THA group compared to the HA group was 2.16 (95% confidence interval [CI], 1.20?3.87; P = 0.010) within the in-hospital period, 3.57 (95% CI, 2.00?6.40; P < 0.001) within 30-days, and 1.96 (95% CI, 1.21?3.18; P = 0.006) within 60-days.
Conclusions: In patients older than 80 years, THA was associated with higher postoperative mortality compared to HA. We recommend the use of HA rather than THA in these patients.
목차
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참고문헌 (30)
참고문헌 신청
Kannan A / 2012 / Arthroplasty options in femoralneck fracture : answers from the national registries / Int Orthop 36(1):1~8
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87(9):2122~2130
Parker M / 2021 / Total hip arthroplasty versus hemiarthroplasty for intracapsular hip fractures / Bone Joint J 103-B(1):3~4
HEALTH Investigators; Bhandari M / 2019 / Total hip arthroplasty or hemiarthroplasty for hip fracture / N Engl J Med 381(23):2199~2208
Sharkey PF / 1998 / Conversion of hemiarthroplasty to total hip arthroplasty : can groin pain be eliminated / J Arthroplasty 13(6):627~630
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87(9):2122~2130
Parker M / 2021 / Total hip arthroplasty versus hemiarthroplasty for intracapsular hip fractures / Bone Joint J 103-B(1):3~4
HEALTH Investigators; Bhandari M / 2019 / Total hip arthroplasty or hemiarthroplasty for hip fracture / N Engl J Med 381(23):2199~2208
Sharkey PF / 1998 / Conversion of hemiarthroplasty to total hip arthroplasty : can groin pain be eliminated / J Arthroplasty 13(6):627~630
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