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John L. Dart Library
9 a.m. – 7 p.m.
Phone: (843) 722-7550
West Ashley Library
9 a.m. – 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
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Wando Mount Pleasant Library
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Phone: (843) 884-9741
St. Paul's/Hollywood Library
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Risk factors for postoperative mortality at 30 days in elderly Chinese patients with hip fractures.
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- Author(s): Chen, X.; Zhang, J.; Lin, Y.; Liu, Z.; Sun, T.; Wang, X.
- Source:
Osteoporosis International; May2022, Vol. 33 Issue 5, p1109-1116, 8p, 1 Diagram, 3 Charts- Subject Terms:
MORTALITY risk factors; HIP surgery; BIOCHEMISTRY; STATISTICS; PNEUMONIA; ANESTHESIA; HEMOGLOBINS; AGE distribution; PREOPERATIVE period; TIME; MULTIPLE regression analysis; HIP fractures; SURGICAL complications; SURGERY; PATIENTS; RETROSPECTIVE studies; CASE-control method; ACQUISITION of data; RISK assessment; SEX distribution; SERUM albumin; MEDICAL records; DESCRIPTIVE statistics; LEUKOCYTE count; SURVIVAL analysis (Biometry); ARRHYTHMIA; ODDS ratio; COMORBIDITY; HEART failure; OLD age - Source:
- Additional Information
- Subject Terms:
- Abstract: Summary: Arrhythmia, pneumonia, cardiac insufficiency, a high leukocyte count, and low albumin concentrations were associated with increased 30-day mortality in elderly hip fracture patients after surgery. It is important to improve short-term survival rates by optimizing the respiratory and cardiac function of geriatric patients before they undergo surgery. Introduction: This study aims to investigate the 30-day mortality and related risk factors for elderly patients following surgery for hip fractures. Methods: This retrospective study examined chart reviews for evaluating associations of gender, age, fracture site, biochemical indicators, pre-surgery comorbidities, number of pre-surgery comorbidities, time to surgery and anesthesia and surgery methods with postoperative 30-day mortality in elderly hip fracture surgery patients. Results: A total of 1,004 patients were included in the study and 43 (4.3%) patients died within 30 days after surgery. Univariate analysis showed that patients in the non-survival group had a higher mean age, higher leukocyte counts, lower hemoglobin and albumin levels, a higher proportion of arrhythmias, pneumoniae and cardiac insufficiency and number of presurgical comorbidities than the survival group (all P-values < 0.05). Multivariate logistic analysis further confirmed that arrhythmia (OR = 2.033, P = 0.038), pneumonia (OR = 2.246, P = 0.041), cardiac insufficiency (OR = 2.833, P = 0.029), high leukocyte count (OR = 1.139, P = 0.009), and low albumin (OR = 0.925, P = 0.041) were all significant risk factors for mortality 30 days after surgery. Conclusions: This study demonstrates that arrhythmia, pneumonia, cardiac insufficiency, a high leukocyte count, and low albumin concentrations were associated with increased 30-day mortality in elderly hip fracture patients after surgery. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Osteoporosis International is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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