Analysis of the correlative factors of perioperative pulmonary infection in elderly patients with hip fracture
10.3760/cma.j.issn.1008-6706.2019.19.005
- VernacularTitle: 老年髋部骨折患者围术期肺部感染相关因素分析
- Author:
Baorong ZHU
1
;
Zheng YANG
Author Information
1. Department of Orthopedics, Beijing Fengsheng Special Hospital of Traditional Medical Traumatology, Beijing 100140, China
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Perioperative care;
Respiratory tract infections;
Risk factors;
Heart failure;
Anemia;
Hypoalbuminemia;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(19):2323-2326
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the related risk factors of perioperative pulmonary infection in elderly patients with hip fracture.
Methods:From June 2010 to June 2017, 576 patients with hip fracture (age≥70 years) admitted in Beijing Fengsheng Special Hospital of Medical Traumatology and Orthopaedics were selected retrospectively.According to whether perioperative pulmonary infection occurred, 576 patients were divided into two groups: pulmonary infection group (n=145), non-pulmonary infection group (n=431). The clinical features were compared between the two groups.SPSS20.0 software was used for data processing.χ2 test was used for comparison between groups.Logistic regression model was established to screen out independent risk factors.
Results:Single factor analysis showed that older age [(82.46±5.56)years vs.(79.22±6.51)years, t=-5.381, P=0.000)], anemia (65.51% vs.31.55%, t=50.696, P=0.000), hypoalbuminemia (55.86% vs.18.10%, χ2=75.557, P=0.000) and heart failure (44.14% vs.13.69%, t=65.242, P=0.000) were independent risk factors of perioperative hip fracture.
Conclusion:The occurrence of perioperative pulmonary infection in elderly patients with hip fracture is the outcome of combined action of multiple factors.Old age, hypoalbuminemia and heart failure are the independent risk factors for perioperative pulmonary infection.
