Analysis of risk factors for perioperative complications and death following hip fractures in the elderly
10.3760/cma.j.issn.1674-0815.2017.04.007
- VernacularTitle:老年髋部骨折围手术期并发症及术后死亡发生的危险因素分析
- Author:
Minmin CHEN
;
Yanhua ZHANG
;
Yanping DU
;
Wei HONG
;
Wenjing TANG
;
Huilin LI
;
Qun CHENG
;
Songbai ZHENG
- Keywords:
Aged;
Hip fractures;
Intraoperative complications;
Death;
Risk factors
- From:
Chinese Journal of Health Management
2017;11(4):325-332
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze risk factors for the perioperative complications and death following hip fracture in the elderly. Methods The present study included 1352 elderly patients (≥65 years) who had received hip fracture surgery from January 2010 to June 2015 in Huadong hospital affiliated to Fudan University. Their clinical data were analyzed to determine risk factors for perioperative complications and death. Results Factors significantly affecting the perioperative complications included gender, preoperative serum albumin, ASA grade (≥Ⅲ), cardiac functional grade (≥Ⅲ), respiratory system disease and blood transfusion. Factors significantly affecting the death included preoperative serum albumin, ASA grade (≥Ⅲ), cardiac functional grade (≥Ⅲ) and blood transfusion. Multivariate Logistic regression analysis revealed that the independent risk factors for perioperative complications included gender (B=-0.686, P=0.019), preoperative serum albumin (B=-0.808, P=0.006), cardiac functional grade (≥Ⅲ, B=1.181, P=0.004), blood transfusion (B=0.890, P=0.004) and respiratory system disease (B=3.118, P=0.000);while the independent risk factors for death included preoperative serum albumin (B=-2.516, P=0.000) and blood transfusion (B=1.396, P=0.010). Conclusions In elderly patients undergoing hip fracture surgery, the independent risk factors for perioperative complications included gender, preoperative serum albumin, cardiac functional grade, blood transfusion and respiratory system disease, while the independent risk factors for death included preoperative serum albumin and blood transfusion. Perioperative risk assessment and prevention are the keys of better prognosis.
