Abstract：【Objective】To investigate the effect of cardiac function on the incidence of death in elderly patients with hip fracture. 【Methods】A total of 526 elderly patients with hip fracture treated in our hospital from August 2017 to December 2019 was selected as the research objects. Followed up for 1 year, the death of elderly patients with hip fracture was counted, and the patients were divided into death group and survival group according to whether death occurred. The clinical data of patients in death group and survival group were analyzed. The survival of patients with cardiac insufficiency group and good cardiac function group were compared. Logistic multivariate regression analysis was used to analyze the factors affecting the death of elderly patients with hip fracture. 【Results】 The mortality of elderly patients with hip fracture was 18.63%. The age, the proportion of coronary atherosclerotic heart disease, the proportion of renal insufficiency, the proportion of cardiac function grade Ⅱ~Ⅳ and the proportion of conservative treatment in the death group were significantly higher than those in the survival group (P<0.05). Logistic regression analysis showed that renal insufficiency, cardiac function grade Ⅱ~Ⅳ and conservative treatment were the risk factors of death in elderly patients with hip fracture (OR=4.141, 3.572, 2.866, P<0.05). The survival rates of cardiac insufficiency group and good cardiac function group were 59.57% and 86.11% respectively. There was significant difference between the two groups (P<0.05). 【Conclusion】 Renal insufficiency, cardiac insufficiency and conservative treatment are the risk factors of death in elderly patients with hip fracture, and the mortality of elderly patients with hip fracture and cardiac insufficiency is higher than that of patients with good cardiac function.
辛玉玺. 心脏功能对老年髋部骨折患者死亡发生率影响的临床分析[J]. 医学临床研究, 2021, 38(11): 1710-1713.
XIN Yu-xi. Effect of Cardiac Function on Mortality in Elderly Patients with Hip Fracture. JOURNAL OF CLINICAL RESEARCH, 2021, 38(11): 1710-1713.
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2021, Vol. 38 
