POSSUM评分预测骨科高龄患者髋关节置换术后并发症发生率和死亡率的价值  

Estimation of mortality and morbidity risk in aged patients undergoing hip arthroplasty using

作　　者：韩天宇[1] 刘贵堂[1] 项良碧[1] 祖启明[1] 

机构地区：[1]解放军沈阳军区总医院骨科,辽宁沈阳110840

出　　处：《临床军医杂志》2010年第6期924-925,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨POSSUM评分预测骨科高龄患者术后并发症发生率和死亡率的价值。方法对200例骨科高龄患者进行POSSUM评分,预测术后并发症和死亡例数,并与实际值进行比较。结果根据POSSUM系统预测,55例发生并发症,而实际发生并发症49例,差异无统计学意义(P=0.871);预测术后死亡人数为16例,实际死亡人数为2例,差异有统计学意义(P=0.031)。结论 POSSUM评分能较好地预测骨科高龄患者术后并发症,但对术后死亡存在过度预测。Objective To evaluate the value of Orthopaedic POSSUM scoring system in predicting mortality and morbidity for the aged patients underwent hip arthroplasty.Methods The mortality and incidence of postoperative complications were predicted in 200 aged patients underwent hip arthroplasty.The sore were compared with the rates predicted by POSSUM.Results The estimated incidence of postoperative complications was 55/155,which had no statistical significance with the real incidence 49/155(P=0.871),the estimated morbidity by POSSUM was more accurate in high-risk subgroup than in low-risk one.The estimated mortality was 16/155,which had statistical significance with the real mortality 2/155(P=0.031).Conclusion The POSSUM scoring system can predict postoperative morbidity rate for the aged patients underwent hip arthroplasty,but overrate the prediction of mortality rate.

关 键 词：POSSUM评分 系统预测 骨科高龄患者 髋关节 置换术后 并发症发生率 死亡率 价值 术后并发症 统计学意义 死亡人数 术后死亡 生并发症 过度预测 差异 实际值 结果 方法 

分 类 号：R82[医药卫生—临床医学]