MORTALITY AFTER HIP FRACTURE - RESULTS OF OPERATION WITHIN 12H OF ADMISSION

MORTALITY AFTER HIP FRACTURE - RESULTS OF OPERATION WITHIN 12H OF ADMISSION
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DOI:
10.1016/0020-1383(92)90037-s
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发表时间:
1992-01-01
影响因子:
2.5
通讯作者:
OLESEN, AS
OLESEN, AS
中科院分区:
医学3区
文献类型:
--
作者:
BREDAHL, C;NYHOLM, B;OLESEN, AS

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这项回顾性研究旨在评估入院 12 小时内接受髋部骨折手术的患者的死亡率和发病率,与入院 12 小时以上接受手术的患者相比,患者没有需要术前治疗的急性医疗状况。 死亡率基于术后一年内患者的生存情况。 对于股骨颈骨折患者,入院12小时内进行手术的患者,其死亡率较术后5个月明显降低。 手术时间不影响股骨粗隆骨折患者的死亡率。 建议对于身体健康的老年患者股骨颈骨折应视为外科急症。
This retrospective study was undertaken to evaluate the mortality and morbidity of patients undergoing hip fracture surgery within 12 h of admission, compared with surgery more than 12 h after admission, the patients had no acute medical conditions that required preoperative treatment. Mortality rates were based on survival of the patients up to 1 year after surgery. For patients with fractures of the femoral neck, and in whom surgery was performed within 12 hours of admission, the mortality rate was significantly lower from 5 months after the operation. Time of surgery did not influence the mortality of patients with trochanteric fractures. It is suggested that a fractured neck of the femur in an otherwise fit elderly patient should be regarded as a surgical emergency.