Analysis of necessity and tolerance of operation for hip fracture in the elderly

VernacularTitle:75岁及以上老年人髋部骨折手术的耐受性分析
Author: Lei QIU ; Lina ZHANG ; Mingxiao SUN ; Kuiyuan LU
Publication Type:Journal Article
Keywords: Hip fracture; Quality of life
From: Chinese Journal of Geriatrics 2010;29(1):30-32
CountryChina
Language:Chinese
Abstract: Objective To investigate the necessity and tolerance of operation for hip fracture in patients aged 75 years and over. Methods The general tolerance including the self-care ability, comorbidities and postoperative complications was retrospectively analyzed in 70 elderly patients with hip fracture. Then the relationship between operation and survival status was estimated. Results The average tolerance score was significantly higher in 46 patients who accepted the operation than in 24 patients who didn't C(76. 1±12. 2) vs. (65. 5±13. 9), P<0. 01]. The median survival period was significantly higher in operation group than in non-operation group ( 97 mouths vs. 48 mouths, P< 0. 05). Kaplan Meier analysis showed that the survival status was better in operation group than in non-operation group. Conclusions For elderly patients over 75 years old with hip fracture, comprehensive evaluations of surgical tolerance before operation are very important for assessing the perioperative risk and feasibility of surgery. The operative treatment is a reasonable choice, as long as the operation is well tolerated by the patients.