创伤指数评分联合C反应蛋白/白蛋白比值对老年股骨粗隆间骨折病人预后的预测价值  

The predictive value of trauma index score combined with C-reactive protein/albumin ratio on the prognosis of elderly patients with femoral intertrochanteric fracture

作　　者：王福荣[1] 郝富永 胡春江 张海矿 孔翔飞[2] WANG Furong;HAO Fuyong;HU Chunjiang;ZHANG Haikuang;KONG Xiangfei(Department of Orthopaedics 3,Tianchang People’s Hospital,Tianchang 239399,China;不详)

机构地区：[1]安徽省天长市人民医院骨三科,239399 [2]东南大学附属中大医院骨科

出　　处：《临床外科杂志》2024年第4期373-376,共4页Journal of Clinical Surgery

摘　　要：目的 探讨创伤指数(TI)评分联合C反应蛋白/白蛋白比值(CAR)对老年股骨粗隆间骨折病人预后的预测价值。方法 2017年12月~2022年12月收治老年股骨粗隆间骨折病人182例,依据术后1年生存情况分为生存组、死亡组。比较两组临床资料,并测定TI评分、CAR值。明确病人术后死亡的独立影响因素,并观察TI评分、CAR值对病人术后死亡的预测效力。结果 182例老年股骨粗隆间骨折病人术后1年死亡24例(13.19%)。多因素Logistic回归分析显示,年龄、术前基础疾病数量、TI评分、CAR值为病人术后1年死亡的独立危险因素,受伤前生活自理能力为独立保护因素(P<0.05)。受试者操作特征(ROC)曲线显示,TI评分、CAR值均对病人术后死亡具有一定预测效力,两者联合预测时曲线下面积(AUC)最高,为0.905,预测敏感度为83.33%,特异度为94.94%。结论 TI评分、CAR值对老年股骨粗隆间骨折病人预后预测效能良好,可作为评估病人预后的参考指标。Objective To investigate the predictive value of trauma index(TI)score combined with C-reactive protein/albumin ratio(CAR)on the prognosis of elderly patients with femoral intertrochanteric fracture.Methods From December 2017 to December 2022,182 elderly patients with femoral intertrochanteric fracture in our hospital were retrospectively selected.According to the survival situation at 1 year after operation,they were divided into survival group and death group.The clinical data of the two groups were compared,and the TI score and CAR value were measured.To determine the independent influencing factors of postoperative death,and to observe the predictive effect of TI score and CAR value on postoperative death.Results Among the 182 elderly patients with femoral intertrochanteric fractures,24 cases(13.19%)died one year after operation.Multivariate Logistic regression analysis showed that age,number of preoperative basic diseases,TI score and CAR value were independent risk factors for death at 1 year after operation,and self-care ability before injury was an independent protective factor(P<0.05).The receiver operating characteristic(ROC)curve showed that both TI score and CAR value had a certain predictive effect on postoperative death.The area under curve(AUC)was the highest when the two were combined,which was 0.905.The predictive sensitivity was 83.33%and the specificity was 94.94%.Conclusion TI score and CAR value have good predictive efficacy for the prognosis of elderly patients with femoral intertrochanteric fracture,and can be used as reference indicators to evaluate the prognosis of patients.

关 键 词：创伤指数 C反应蛋白/白蛋白 股骨粗隆间骨折 预后预测 

分 类 号：R687.3[医药卫生—骨科学]