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

doi:10.3969/j.issn.1671-7171.2021.11.031

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1219 KB) HTML (0 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Hip Fractures /SU Heart Function Tests Aged Death

Received: 16 September 2021

PACS:

R457.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XIN Yu-xi

Cite this article:

XIN Yu-xi. Effect of Cardiac Function on Mortality in Elderly Patients with Hip Fracture[J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(11): 1710-1713.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.11.031 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I11/1710

[1] 洪艳, 李芹, 张刘伟, 等. 循证护理在老年髋部骨折康复中的应用研究[J].老年医学与保健, 2019, 25(6):752-754.
[2] ALEXIOU K I, ROUSHIAS A, VARITIMIDIS S E, et al. Quality of life and psychological consequences in elderly patients after a hip fracture: a review [J].Clin Interv Aging,2018, 13(5):143-150.
[3] KOSO R E, SHEETS C, RICHARDSON W J, et al. Hip fracture in the elderly patients: a sentinel event [J].Am J Hosp Palliat Care,2018, 35(4):612-619.
[4] SCURRAH A, SHINER C T, STEVENS J A, et al. Regional nerve blockade for early analgesic management of elderly patients with hip fracture -a narrative review [J].Anaesthesia,2018, 73(6):769-783.
[5] 刘瑞奇, 吴晶. 骨质疏松性髋部骨折患者心脏并发症的发生率与风险因素研究[J].中华创伤杂志, 2018, 34(4):357-361.
[6] YAP J, LIM F Y, GAO F, et al. Correlation of the new york heart association classification and the 6-minute walk distance: a systematic review [J].Clin Cardiol,2015, 38(10):621-628.
[7] MAK J C, CAMERON I D, MARCH L M, et al. Evidence-based guidelines for the management of hip fractures in older persons: an update [J].Med J Aust,2010, 192(1):37-41.
[8] 唐辉, 王凤英, 徐道志, 等. 老年髋部骨折术前不留置导尿管的疗效观察[J].老年医学与保健, 2020, 26(3):503-504.
[9] ERICKSON KLB. Innovations in care of the elderly hip fracture patient: a nightmare no more [J].Nurs Clin North Am,2020, 55(2):149-161.
[10] VOTTIS C T, MITSIOKAPA E, IGOUMENOU V G, et al.Fall risk assessment metrics for elderly patients with hip fractures [J].Orthopedics,2018, 41(3):142-156.
[11] YIN P, LV H, LI Y, et al. Hip fracture patients who experience a greater fluctuation in RDW during hospital course are at heightened risk for all-cause mortality: a prospective study with 2-year follow-up [J].Osteoporos Int,2018, 29(7):1559-1567.
[12] 彭城, 王晓伟, 李绍光, 等. 老年患者不同部位的髋部骨折对预后的影响[J].中国骨伤, 2017, 30(10):906-910.
[13] NOVOTNÝ P, ěÊDEK T, FRANK M, et al. Extracapsular proximal femoral fractures -retrospective evaluation of a group of patients with a focus on complications of treatment [J].Acta Chir Orthop Traumatol Cech,2018, 85(4):249-253.
[14] 王金强, 骆洪涛, 王晓伟, 等. 老年髋部骨折患者术后30 d内新发心脏不良事件的危险因素分析[J].中华创伤骨科杂志, 2020, 22(6):518-522.
[15] SILJANDER M P, CROSS J, KOUEITER D M, et al. Order of total hip or total knee arthroplasty does not affect length of stay or discharge disposition in patients with coexisting hip and knee arthritis[J].Orthopedics,2019 , 42(6):e528-e531.
[16] 孟康, 陈妍, 王虹, 等. 老年髋部骨折患者住院期间急性心肌梗死发生风险分析[J].中国医药, 2015, 10(12):1746-1750.
[17] 黄晓, 莫冰峰, 尹东, 等. 老年髋部骨折后死亡的相关影响因素分析[J].中国矫形外科杂志, 2013, 21(8):757-761.