Analysis of risk factors related to death within 1 year after non-operative treatment of hip fractures in the elderly
10.3760/cma.j.issn.0254-9026.2021.09.016
- VernacularTitle:老年人髋部骨折保守治疗后一年内死亡的相关危险因素分析
- Author:
Xiang JI
1
;
Fengpo SUN
;
Junchuan LIU
;
Liangyuan WEN
Author Information
1. 首都医科大学电力教学医院骨二科 100073
- Keywords:
Hip fractures;
Non-operative treatment;
Mortality
- From:
Chinese Journal of Geriatrics
2021;40(9):1160-1164
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the risk factors for death within one year after non-operative treatment of hip fractures in the elderly.Methods:Clinical data of 83 elderly patients with hip fractures treated non-operatively from March 2012 to March 2017 who had met the criteria of inclusion and exclusion were included.They were divided into the death group and the survival group according to whether they had died within one year after non-operative treatment.Univariate and multivariate regression analysis were used to screen risk factors for death within one year after non-operative treatment.Results:Of the 83 patients, 26(31.3%)died within one year, including 10(38.5%)from pulmonary infections and 6(23.1%)from acute myocardial infarction.Univariate analysis showed that age, gender, walking ability before a fracture, number of comorbidities, coronary heart disease and COPD each had a significant impact on the death of patients within one year after receiving non-operative treatment( P<0.05). Multivariate Logistic regression analysis showed that age(≥76 years old)( OR=12.704, P=0.001), COPD( OR=5.870, P=0.042)and coronary heart disease( OR=7.451, P=0.007)were independent risk factors for death within one year after non-operative treatment. Conclusions:The mortality is as high as 31.3% in elderly patients with hip fractures within one year after non-operative treatment.The main cause of death is pulmonary infections.Age(≥76 years old), COPD and coronary heart disease are independent risk factors for death within one year after non-operative treatment.
