Effect of comorbidities on the surgical outcomes of elderly patients with hip fracture

VernacularTitle:并存症对高龄髋部骨折患者手术预后的影响
Author: Jianqiang DAI ; Guodong ZHENG ; Liangda ZHANG ; Xianhua HUANG ; Wenping XU ; Xiaoling DENG ; Hong XIA
Publication Type:Journal Article
Keywords: hip fracture; comorbidities; elderly patients; surgical outcomes
From: Journal of Regional Anatomy and Operative Surgery 2014;(1):56-57
CountryChina
Language:Chinese
Abstract: Objective To explore the effect of comorbidities on the surgical outcomes of elderly patients with hip fracture. Methods The Age,gender,weight,type of fracture,preoperative comorbidities and surgical outcomes of 117 patients aged 80 yr or over who undergoing hip fracture surgery in our hospital were recorded. Patients were divided into rehabilitation group and postoperative in-hospital death group ac-cording to surgical outcomes. The potential predictors of postoperative in-hospital death were identified by univariate model and were then entered into multiple Logistic regression analysis. Results Twenty three patients(19. 7%)had no comorbidity,94 patients(80. 3%)had one or more comorbidities. Ten patients(8. 5%)died in hospital after the operation. Predictors of postoperative in-hospital death were preoperative respiratory diseases and three or more comorbidities. Conclusion Surgical outcomes of elderly patients with hip fracture may be predicted by analysing preoperative comorbidities. Preoperative preparations must be sufficient in order to ensure successful operation.