The effect of the timing of hip fracture surgery on the activity of daily living and mortality in elderly
The effect of the timing of hip fracture surgery on the activity of daily living and mortality in elderly
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DOI：
10.1016/j.archger.2004.03.004
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发表时间：
2004-09-01
影响因子：
4
通讯作者：
Kyrdemir, V
中科院分区：
文献类型：
--
作者：
Doruk, H;Mas, MR;Kyrdemir, V
老年人髋部骨折的最佳手术时机尚不明确。大多数数据表明，早期手术与更好的预后和改善的健康质量有关。我们的目的是研究手术干预时机对术后并发症发生率的影响。恢复负重能力、总住院时间和日常生活活动能力(ADL)评分。对65例接受手术修复的患者进行了随访。分别于骨折前、术后1个月、3个月、6个月、12个月评定日常生活活动能力。EARL组38例，女24例，男14例，平均年龄76.16±7.08岁；5d后手术组27例，女18例，男9例，平均年龄75.81±7.50岁。晚期组负重恢复时间和总住院时间明显高于晚期组(P<；0.05)。晚期组术后1、3、6个月ADL评分明显低于对照组(P<；0.05)，术后1、12个月死亡率明显高于对照组(P<；0.05)。髋部骨折后5天内手术的老年人较入院第5天后手术的老年人生存时间延长，生活质量更好。这些数据支持了以前的报道，即老年髋部骨折早期手术的必要性。(C)2004年，爱思唯尔爱尔兰有限公司出版。
The optimal time for the operation of hip fractures in elderly is not clear. Most of the data indicate that early operation is associated with better prognosis and improved health quality. We aimed to investigate the effect of timing of surgical intervention on the frequency of post-operative complications. recovery of weight bearing ability, total hospitalization time and activities of daily living (ADL) scores. Sixty five patients subjected to surgical repair were followed up. All were evaluated for their ADL before fracture, post-operative 1st, 3rd, 6th and 12th month. The patients operated within 5 days after hospitalization constituted the earl group (n = 38, 24 females, 14 males; mean 44 age = 76.16 +/- 7.08 years), and the patients operated after the fifth day served as the late group (n = 27, 18 females, 9 males; mean age = 75.81 +/- 7.50). Time of recovery of weight bearing ability and total hospitalization time were significantly higher in the late group (P < 0.05). ADL scores in 1st, 3rd and 6th month after surgery were significantly lower (P < 0.05), and death rates on post- operative 1st and 12th month were significantly higher in the late group (P < 0.05). Elderly, operated within 5 days of the hip fracture have increased survival time and better life quality than those operated after the fifth day of the admission. The data supports the previous reports which indicate the necessity of the early operation of elderly hip fractures. (C) 2004 Published by Elsevier Ireland Ltd.