老年患者髋部骨折术后1年病死率及危险因素分析：一项回顾性队列研究  

Risk factors of one-year mortality in elderly patients after hip fracture surgery： a retrospective study

作　　者：耿姣[1] 陈宣伶 李民[1] 

机构地区：[1]北京大学第三医院麻醉科,100191

出　　处：《国际麻醉学与复苏杂志》2016年第8期688-691,704,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：目的调查老年髋部骨折患者术后1年病死率，并分析其危险因素。方法研究为回顾性队列研究，收集2011年～2014年因髋部骨折行手术治疗的老年（年龄I〉65岁）患者信息，随访术后1年存活情况，采用Logistic回归分析筛选术后死亡的危险因素。结果共295名老年髋部骨折患者纳入本研究，平均年龄（78．4±6．7）岁，女性占71．5％，术前有3种以上合并症的占38％，平均随访（31．2±0．7）个月。住院期间、术后30d、术后1年以及随访结束时病死率分别为0．7％、1．7％、3．7％和5．8％。结论高龄、术前合并呼吸系统疾病、既往有脑卒中病史及采用内固定手术是老年髋部骨折患者术后1年死亡的危险因素。Objective To investigate the 1-year mortality rate in elderly patients after hip fracture surgery, and to identify the risk factors of this 1 -year mortality. Methods This was a retrospective cohort study. Elderly patients （aged≥65 years） who underwent hip fracture surgery from May 2011 to May 2014 were consecutively enrolled. Patients were followed-up for 1-year survival. Logistic regression analyses were performed to identify risk factors of 1 -year mortality. Results A total of 295 patients were enrolled in the study. The mean age was （78.4＋6.7） y, the percentage of female patients was 71.5%, the percentage of patients with more than 3 comorbidities was 38%, and the mean follow-up duration was （31.2＋0.7） months. The mortality rate during hospitalization and at 30 d and one year after surgery was 0.7%, 1.7% and 3.7%, respectively. Conclusions Our study showed that, in elderly patients undergoing hip fracture surgery, older age, preoperative respiratory diseases, previous history of stroke and internal fixation were associated with high 1-year mortality.

关 键 词：老年患者 髋部骨折 合并症 病死率 危险因素 

分 类 号：R614[医药卫生—麻醉学]