Study on the influencing factors of the clinical outcome of patients with femoral neck fracture
10.3760/cma.j.issn.1008-6706.2014.16.028
- VernacularTitle:股骨颈骨折患者影响手术治疗效果因素分析
- Author:
Guofeng SUN
;
Xiaodong LI
;
Hongjian YU
- Publication Type:Journal Article
- Keywords:
Femoral neck fracture;
Influencing factors;
Serum albumin;
Hemoglobin
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(16):2461-2462,2463
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors of the clinical outcome of patients with femoral neck fracture after operation .Methods 180 patients with femoral neck fractures were chosen ,the clinical data were statistical analyzed,recording body condition of concurrent disease and preoperative in all patients gender ,age,level of hemoglobin ,serum albumin level ,injured time and operation time interval of time ,before the operation , The influence of clinical outcome in patients of 1 years after fracture of neck was analyzed .Results The death patients and survival between patients with concurrent disease (89.6% vs 10.4%),physical status classification (84.9% vs 15.1%), hemoglobin(98.4%vs 1.6%),serum albumin level(98.9% vs 1.1%) and total lymphocyte number (96.6% vs 3.4%) had statistical significance(χ2 =7.227,13.855,16.201,6.678,4.649,all P<0.05).Multivariate Logistic regression analysis ,concurrent disease ,>2 physical status classification in the grade ⅢorⅣ,level of hemoglobin <100g/L,level of serum albumin <35g/L and total lymphocyte number <1.5 ×109/L were risk factors of clinical out-come of femoral neck after surgery .Conclusion Concurrent disease ,physical status classification ,hemoglobin levels , serum albumin level and total lymphocyte number are clinical risk factors increased mortality for patients with fracture of neck of femur .
