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논문 기본 정보

자료유형
학술저널
저자정보
Mehmet Ekinci (Haseki Education and Research Hospital Istanbul) Serkan Bayram (Istanbul University Faculty of Medicine) Erol Gunen (Haseki Education and Research Hospital Istanbul) Kemal Arda Col (Haseki Education and Research Hospital Istanbul) Ahmet Mucteba Yildirim (Istanbul Faculty of Medicine Istanbul University Istanbul) Murat Yilmaz (Haseki Education and Research Hospital Istanbul)
저널정보
대한고관절학회 Hip and Pelvis Hip and Pelvis 제33권 제4호
발행연도
2021.12
수록면
200 - 210 (11page)

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초록· 키워드

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Purpose: The main purpose of this study is to evaluate prognostic factors that affected the patients’ early (<30 days) and late (six months, one year, and overall) postoperative mortality following hip fracture surgery. Materials and Methods: This retrospective study included 515 patients older than 75 years old with surgically treated osteoporotic hip fracture. The demographic data, American Society of Anesthesiologists (ASA) classification, type of anesthesia, duration of hospital stay, and history of intensive care unit (ICU) stay were collected. An analysis of laboratory values was also performed to determine their relationship with mortality. The primary outcome was survival, determined as the time from the surgery to death or the end of the study. The patients were divided into four groups according to survival time: at the first month, six months, first year, and overall survival. An analysis of demographic and laboratory values was performed to determine their validity as prognostic factors for each group. Results: Postoperative C-reactive protein (CRP) level showed an independent association with a poor survival at the first month. ASA classification, admission to the ICU, and preoperative CRP levels showed an independent association with a poor survival for the first six months. Preoperative CRP level showed an independent association with a poor survival for the first year. ASA classification, admission to the ICU, and the preoperative CRP levels showed an independent association with a poor overall survival. Conclusion: CRP level, a high ASA classification, and postoperative ICU admission were related to poorer overall survival rate following hip fracture surgery in the elderly.
#Hip fractures #Mortality #Elderly #Geriatric fracture #Cause of death

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참고문헌 (24)

참고문헌 신청
Panula J / 2011 / Mortality and cause of death in hip fracture patients aged 65 or older : a population-based study / BMC Musculoskelet Disord 12:105 google schola Jung Min Jang / 2019 / Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients / Annals of geriatric medicine and research 23(3):125~132 dbpia Pereira SR / 2010 / The impact of prefracture and hip fracture characteristics on mortality in older persons in Brazil / Clin Orthop Relat Res 468:1869~1883 google schola Hu F / 2012 / Preoperative predictors for mortality following hip fracture surgery : a systematic review and meta-analysis / Injury 43:676~685 google schola Casaletto JA / 2004 / Post-operative mortality related to waiting time for hip fracture surgery / Injury 35:114~120 google schola

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