Risk factors of morbidity and mortality following hip fracture surgery.
Risk factors of morbidity and mortality following hip fracture surgery.
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DOI：
10.4097/kjae.2013.64.6.505
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发表时间：
2013-06
影响因子：
2.9
通讯作者：
Jee DL
中科院分区：
文献类型：
--
作者：
Kim SD;Park SJ;Lee DH;Jee DL
术前合并慢性全身性疾病、手术延误、性别、年龄被认为是髋部骨折术后并发症的危险因素。更大范围的手术延误和与不动相关的肺部发病率可能会影响术后并发症和死亡率。这项研究调查了髋部骨折手术后发病率和死亡率的危险因素。回顾性收集患者数据。纳入连续506例髋部骨折手术患者，年龄60岁以上。记录患者的年龄、性别、既往疾病、美国麻醉医师协会 (ASA) 分类、手术修复延迟、手术持续时间和麻醉方法。回顾术后三十天的并发症，记录心脏并发症、肺部并发症、谵妄和死亡情况。对数据进行术后并发症和危险因素分析。肺不张与术后肺部并发症相关。男性和年龄≥80岁与术后谵妄发生率增加相关。 ASA 分类 3 与死亡相关。手术延迟与任何并发症无关。先前存在的疾病和麻醉方法不会影响死亡率和术后并发症。结果表明，手术延迟不会影响术后并发症和发病率。
The preoperative coexisting chronic systemic illness, delay in surgery, gender, and age were considered as risk factors for the complications after hip fracture surgery. The wider range of surgical delay and immobility-related pulmonary morbidity may affect postoperative complications and mortality. This study examined the risk factors for morbidity and mortality following the hip fracture surgery. The patient data was collected retrospectively. The consecutive 506 patients with hip fracture surgery, aged 60 years or older, were included. The patients' age, gender, preexisting diseases, American Society of Anesthesiologists (ASA) classification, delay in surgical repair, duration of surgical procedure, and methods of anesthesia were noted. The thirty-day postoperative complications were reviewed, and cardiac complications, pulmonary complications, delirium, and death were recorded. The data was analyzed for postoperative complications and risk factors. Atelectasis was associated with postoperative pulmonary complications. Male gender and age ≥ 80 years were associated with an increased incidence of postoperative delirium. ASA classification 3 was associated with death. A delay in surgery was not associated with any complications. Preexisting diseases and methods of anesthesia did not affect mortality and postoperative complications. The results suggest that a delay in surgery did not affect the postoperative complications and morbidity.