Predictors of one year mortality in the elderly patients with hip fracture following poststroke hemiplegla
10.3760/cma.j.issn.1671-7600.2012.02.001
- VernacularTitle:卒中后偏瘫的老年髋部骨折患者术后一年内死亡相关因素分析
- Author:
Mingli FENG
;
Huiliang SHEN
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Mortality;
Cerebrovascular accident;
Treatment outcome;
Fore
- From:
Chinese Journal of Orthopaedic Trauma
2012;14(2):93-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate predictors of one year mortality in the elderly patients with hip fracture following poststroke hemiplegia.MethodsA retrospective study was conducted to analyze clinical data of the elderly patients who had received surgery in our hospital from January 2000 to May 2007 forhip fractures.Patients in the poststroke hemiplegia group (group A) and the hemiplegia-free group (group B)were compared in terms of general characteristics.Predictors of one year mortality in group A were analyzed statistically.Variables to be analyzed included age,gender,American Society of Anesthesiologists(ASA) rating,preoperative comorbidity,fracture type,prefracture ambulatory status and cognitive ability,hospital stay,interval from injury to surgery,anaesthetic mode and operational mode. Results Altogether 1379 patients with a mean age of 76.4 ± 7.0 years (from 65 to 99 years) were eligible for the present investigation.Of them,101 were assigned into group A.There were significant differences between the 2 groups in ASA rating,number of preoperative comorbidity,prefracture ambulatory status and cognitive ability,hospital stay and one year survival ( P ＜ 0.05).One year follow-up found 25 deaths in group A (mortality rate 24.8％ ).Multiple logistic regression analysis showed that gender ( P =0.017),ASA rating ( P=0.009),prefracture ambulatory status ( P =0.000),chroic respiraory disease ( P =0.022) and number of preoperative comorbidity ( P =0.048) were risk factors associated with the one year mortality in group A.ConclusionsEldarly hip fracture patients with hemiplegia tend to have a longer hospital stay and a higher mortality rate than those without hemiplegia.Male gender,ASA rating ≥ Grade Ⅲ,number of preoperative comorbidity ≥ 3,chronic respiratory disease and weak prefracture ambulatory status are predictors of one year mortality in the elderly patients with hip fracture following poststroke hemiplegia.
