改良DORSSSP评分系统评分联合NLR对老年髋部骨折患者术后并发症的预测价值

doi:10.3969/j.issn.1671-7171.2023.12.021

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Abstract 【Objective】To explore the predictive value of the modified Daping Orthopaedic Surgery Risk Scoring System (DORSSSP) score combined with neutrophil to lymphocyte ratio (NLR) level for postoperative complications in elderly patients with hip fractures. 【Methods】A total of 160 elderly patients with hip fractures admitted to our hospital from January 2019 to December 2022 were enrolled in this study. After admission, all patients underwent surgical treatment, and a 3-month follow-up was conducted to record the occurrence of postoperative complications. According to the occurrence of postoperative complications, patients were divided into the complication group and the non-complication group. Relevant clinical data of patients such as gender, age, body mass index, the modified DORSSSP score and the NLR level were collected. Single factor and multivariate logistic regression were used to analyze the factors influencing the occurrence of postoperative complications in patients. The predictive value of the modified DORSSSP score combined with NLR level detection for postoperative complications in patients was evaluated using the subject performance characteristic (ROC) curve. 【Results】The postoperative complication rate of elderly patients with hip fracture was 31.88% (51/160). The results of univariate analysis showed that there were no statistical differences in gender, body mass index (BMI), fracture location, surgical method, ASA grade, comorbid hypertension, and operative time between the two groups (P>0.05). Age, proportion of comorbid diabetes mellitus, C-reactive protein (CRP) level, and white blood cell count (WBC) level were significantly higher in the complication group than in the non-complication group (P<0.05). The modified DORSSSP scores and NLR level of the patients in the complication group were significantly higher than those in the uncomplicated group (P<0.05). Multivariate logistic regression analysis showed that high modified DORSSSP score (OR=1.755), high NLR level (OR=2.147), advanced age (OR=2.658), and high CRP (OR=2.324) level were independent risk factors for the development of postoperative complications (P<0.05). ROC curve analysis showed that the area under the curve (AUC) of the modified DORSSSP score, NLR level and the combined prediction of both DORSSSP score and NLR for postoperative complications in elderly hip fracture patients were 0.686, 0.714 and 0.898, respectively. 【Conclusion】The modified DORSSSP score and NLR level are risk factors for postoperative complications in elderly patients with hip fractures. The combination of both modified DORSSSP scoring and NLR level provides better predictive value for the evaluation of the occurrence of postoperative complications in patients.

Key words： Hip Fractures/SU Lymphocytes Neutrophils Odds Ratio Postoperative Complications Aged

Received: 18 May 2023

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R457.1

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	HUANG Junfeng
	YANG Le
	YANG Sen

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HUANG Junfeng,YANG Le,YANG Sen. The Predictive Value of Improved DORSSSP Scoring System Combined with NLR Level for Postoperative Complications in Elderly Patients with Hip Fractures[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(12): 1895-1898.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.12.021 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I12/1895

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