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首页> 外文期刊>Revista Brasileira de Ortopedia >Factors associated with mortality among elderly people hospitalized due to femoral fractures
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Factors associated with mortality among elderly people hospitalized due to femoral fractures

机译:与股骨骨折住院的老年人死亡率相关的因素

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Objective To analyze factors associated with mortality among elderly people hospitalized in a single-center regional hospital due to femoral fractures. Methods This was a retrospective cohort study. Patients aged 60 years or over who were hospitalized with a diagnosis of femoral fracture (ICD S72) between 2008 and 2013 were selected through the electronic medical records. Results The study evaluated 195 individuals of mean age 78.5 ± 9.6 years; females predominated (68.2%). The main mechanism for falls was low-energy (87.2%). Surgery was performed on 93.3% of the patients; the mean length of hospital stay was 13.6 ± 7.5 days and the mean waiting time for the surgery was 7.7 ± 4.2 days. The prevalence of mortality was 14.4%, and this occurred mostly among older individuals ( p = 0.029); patients with leukocytosis ( p 0.001); those who needed intensive care ( p 0.001); and those who did not undergo surgery ( p 0.001). The mean survival was significantly longer among patients who underwent surgery and shorter among those who needed intensive care. Conclusion Women predominated among the hospitalizations, and the degree of leukocytosis associated with advanced age presented a relationship with mortality, independent of the type of lesion or surgical procedure. More studies still need to be conducted in order to assess other factors associated with mortality.
机译:目的分析单中心区域医院因股骨骨折而住院的老年人死亡率相关因素。方法这是一项回顾性队列研究。通过电子病历选择在2008年至2013年之间住院并诊断为股骨骨折(ICD S72)的60岁以上患者。结果该研究评估了195位平均年龄为78.5±9.6岁的个体。女性居多(68.2%)。跌倒的主要原因是低能量(87.2%)。 93.3%的患者接受了手术治疗;平均住院时间为13.6±7.5天,平均等待手术时间为7.7±4.2天。死亡率为14.4%,主要发生在老年人中(p = 0.029);白细胞增多症患者(p <0.001);需要重症监护的人(p <0.001);那些没有接受手术的人(p <0.001)。接受手术治疗的患者的平均生存期明显更长,而需要重症监护的患者的平均生存期则较短。结论住院患者以女性为主,与高龄相关的白细胞增多程度与死亡率相关,与病变类型或手术方式无关。为了评估与死亡率相关的其他因素,仍然需要进行更多的研究。

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