Analysis of the factors and outcomes of the ICU admission for elderly patients after hip fracture surgery
10.3760/j.issn.1674-2907.2014.11.029
- VernacularTitle:老年髋部骨折患者术后转 ICU治疗的原因与转归分析
- Author:
Qiu ZHAN
1
;
Shaomin CHEN
;
Yutao CHEN
;
Yuanyuan HE
;
Jie CHEN
;
Xiaohong WANG
Author Information
1. 325000 温州医科大学附属第二医院成人ICU
- Keywords:
Hip fracture;
Elderly;
Intensive care unit (ICU);
Treatment outcome;
Cause
- From:
Chinese Journal of Modern Nursing
2014;20(11):1314-1315
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and analyze the factors and outcomes of the ICU admission for elderly patients after hip fracture surgery .Methods A retrospective study was carried out from February 2008 to February 2013.Totals of 98 cases of elderly patients after hip fracture surgery were admitted to ICU and their data was collected .Results Twenty-seven cases admitted to ICU because of excessive loss of blood or circulatory disorder; Twenty-five cases transferred to ICU due to respiratory insufficiency after anesthesia;Fourteen cases had severe pulmonary infection; Ten cases had acute heart failure; Seven cases had severe postoperative cognitive dysfunction; Four cases had pulmonary embolism; Two cases suffered from gastrointestinal ulcer;Two cases suffered from postoperative cerebral thrombosis recurrence; Eight cases were admitted to ICU because of other various health problems .Treated in ICU, fifty-six cases recovered; Twenty-eight cases transferred to other department due to underlying diseases;Eight cases discharged from ICU of their own accord; Six cases died after emergency treatment .Conclusions For elderly patients with serious postoperative complications , strict preoperative assessment and aggressive treatment of the underlying disease can improve the symptom of elderly patients and achieve a satisfactory therapeutic effect .
