Perioperative management of concomitant diseases and complications of hip fracture in patients aged 80 year and over / 中华老年医学杂志
Chinese Journal of Geriatrics
; (12): 391-395, 2016.
Article
in Zh
| WPRIM
| ID: wpr-489312
Responsible library:
WPRO
ABSTRACT
Objective To investigate the clinical treatment strategy of concomitant diseases and perioperation complications in elderly patients with hip fracture aged ≥ 80 years and the clinical prognosis.Methods A retrospective analysis was conducted in 95 hip fracture patients aged 80 and over years(80~90 years old) undergoing operation.There were 42 cases with femoral neck fractures and 53 cases with intertrochanteric fracture.71 cases (74.7%) had preoperative concomitant medical diseases.Screw fixation was performed in 3 cases (3.2%),hemiarthroplasty in 75 cases (78.9%),total hip replacement in 4 cases (4.2%),proximal femoral nail antirotation (PFNA) in 9 cases (9.5 %) and reconstruction interlocking nail fixation in 4 cases (4.2 %).Results No mortality was found during hospitalization.Postoperative anemia was the most common (74.7%),followed by hypoproteinemia (68.4%),digestive disorders (30.5%),electrolyte disturbance (28.4%) and psychiatric symptoms (15.8 %).At least one-year follow-up was made in 73 cases.39 cases (53.4 %) acquired independent activities after surgery,48 (65.8%) patients recovered to the preoperative level of activity.The concomitant diseases before surgery (OR =0.23,P =0.011),preoperative ability of activity (OR=0.23,P=0.025),the American Society of Anesthesiology (ASA) classification (OR=0.19,P=0.025) were the related factors influencing the one-year mortality.Conclusions The treatment of concomitant diseases should be emphasized in treating fracture.The active prevention during preoperative,intraoperative,postoperative period could reduce or avoid fatal complications and acquire good functions.
Full text:
1
Database:
WPRIM
Type of study:
Prognostic_studies
Language:
Zh
Journal:
Chinese Journal of Geriatrics
Year:
2016
Document type:
Article