Risk factors for the development of aspiration pneumonia in elderly patients with femoral neck and trochanteric fractures: A retrospective study of a patient cohort
Risk factors for the development of aspiration pneumonia in elderly patients with femoral neck and trochanteric fractures: A retrospective study of a patient cohort
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DOI：
10.1097/md.0000000000019108
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发表时间：
2020-02-01
期刊：
影响因子：
1.6
通讯作者：
Sawaguchi, Takeshi
中科院分区：
文献类型：
--
作者：
Higashikawa, Toshihiro;Shigemoto, Kenji;Sawaguchi, Takeshi
吸入性肺炎（AP）已被认为是老年人髋关节手术后最常见的术后并发症之一。本研究的目的是评估老年股骨颈骨折患者发生 AP 术后并发症的风险。我们招募了 426 名有在富山市立医院进行过髋关节手术史的患者（年龄 84.97.4 岁）。 426 例中有 18 例发生 AP（4.23%）。统计检验发现AP组和非AP组在年龄、性别、血清白蛋白水平和认知障碍方面存在显着差异。随后进行多元logistic回归分析探讨AP的危险因素，包括年龄、性别、血清白蛋白、认知障碍和日常生活活动（ADL）。调整后的比值比显示，年龄、性别和血清白蛋白存在显着差异，而认知障碍和 ADL 方面没有显着差异。本研究表明，血清白蛋白似乎是 AP 的危险因素，但有必要在年龄和性别等混杂因素调整后进行评估。监测血清白蛋白水平对于 AP 的术后处理似乎很重要，特别是对于接受股骨颈和转子骨折手术的老年患者。
Aspiration pneumonia (AP) has been recognized as one of the most common postoperative complications after hip surgery in elderly. The objective of the present study was to evaluate risk for postoperative complications of AP in elderly patients with femoral neck fractures.We recruited 426 patients (age 84.97.4 years) with a history of hip surgery carried out at Toyama Municipal Hospital. AP occurred in 18 out of 426 cases (4.23%). Statistical test has found significant differences in age, gender, serum albumin level, and cognitive impairment, between AP and non-AP groups. Subsequently multiple logistic regression analysis was conducted to investigate the risk factors for AP, including age, gender, serum albumin, cognitive impairment, and activities of daily living (ADL). Adjusted odds ratio showed significant differences in age, gender, and serum albumin, whereas no significant differences were found in cognitive impairment and ADL.This study suggested that serum albumin seemed to be a risk factor for AP but were necessary to assess under adjustment of confounding factors, including age and gender. Monitoring serum albumin level seemed to be important for the postoperative management of AP, especially in elderly patients receiving surgery of femoral neck and trochanteric fractures.