Analysis of risk factors for perioperative heart failure following hip fracture surgery in the aged patients
10.3760/cma.j.issn.0254-9026.2016.09.014
- VernacularTitle:老年人髋部骨折围术期心力衰竭发生的相关危险因素分析
- Author:
Tiezhou WANG
;
Shanming WANG
;
Caimai WANG
;
Liwu JIANG
;
Haiming LANG
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Intraoperative peroid;
Heart failures Risk factors
- From:
Chinese Journal of Geriatrics
2016;35(9):978-981
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze risk factors for the perioperative heart failure following hip fracture surgery in the aged patients.Methods The present study included 186 elderly patients(≥ 65 years)who had received hip fracture surgery from August 2009 to Janurary 2014 in our department.Their clinical data were analyzed to define risk factors for perioperative heart failure.Results Factors significantly affecting the perioperative heart failure included age,gender,hypertension,time from injury to operation,general health before injury,pain score,perioperative blood transfusion,perioperative human serum albumin transfusion,fluid infusion during operation,perioperative balance between daily fluid intake and output,perioperative temperature changing and heart diseases.A multivariate Logistic regression analysis revealed that the independent risk factors for perioperative heart failure included general health before injury (OR =21.967,P=0.000),perioperative balance between daily fluid intake and output (OR =19.349,P =0.005),heart diseases (OR =6.009,P =0.006).Conclusions In aged patients undergoing hip fracture repair operations the independent risk factors for perioperative heart failure include general health before injury,perioperative balance between daily fluid intake and output,heart diseases.Perioperative risk assessment and prevention are the keys of better prognosis.
