Preoperative C-reactive protein level has a dose-response relationship with postoperative complications in elderly patients with femoral neck fracture / 南方医科大学学报
Journal of Southern Medical University
;
(12): 1511-1514, 2019.
Article
in Chinese
| WPRIM
| ID: wpr-781247
ABSTRACT
OBJECTIVE@#To analyze the association of preoperative C-reactive protein (CRP) level with postoperative complications in elderly patients undergoing surgeries for femoral neck fracture.@*METHODS@#We retrospectively analyzed the data of 147 elderly patients (median age 80 years; 73.5% of the patients were female) undergoing surgeries for femoral neck fracture. According to preoperative CRP level, the patients were divided into normal CRP (< 10 mg/L) group (31 patients), mild elevation group (CRP level of 10-40 mg/L; 51 patients), and severe elevation group (CRP ≥40 mg/L; 65 patients). The association of preoperative CRP levels with postoperative complications was analyzed.@*RESULTS@#Preoperative CRP level was significantly correlated with the occurrence of postoperative complications (=0.003). Compared with that in normal CRP group, the unadjusted ORs in mild and severe elevation groups were 0.97 (95% 0.29-3.27) and 3.04 (95% 1.03-8.98) with the adjusted ORs of 1.13 (95% 0.33-3.90) and 4.89 (95% 1.47-16.26), respectively.@*CONCLUSIONS@#Preoperative CRP level has a dose-response relationship with complications in elderly patients following arthroplasty for femoral neck fracture, and the patients with a preoperative CRP level ≥40 mg/L are exposed to a significantly increased risk for postoperative complications by 3.89 folds compared with the patients with a normal CRP level.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
C-Reactive Protein
/
Retrospective Studies
/
Femoral Neck Fractures
Type of study:
Observational study
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Southern Medical University
Year:
2019
Type:
Article
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