In-hospital mortality and influential factors of hip arthroplasty in older adult patients
10.3760/cma.j.cn341190-20211102-01235
- VernacularTitle:高龄患者髋关节置换术后院内病死率与影响因素分析
- Author:
Liancheng FEI
1
;
Haiguo PAN
;
Jinlei YU
Author Information
1. 湖州市菱湖人民医院骨科，湖州 313018
- Keywords:
Arthroplasty, replacement, hip;
Aged, 80 and over;
Hospital mortality;
Risk factors;
Root cause analysis;
Cardiovascular diseases;
Smoking;
Complication;
Surg
- From:
Chinese Journal of Primary Medicine and Pharmacy
2022;29(7):1049-1053
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the in-hospital mortality and influential factors of total hip arthroplasty (THR) in older adult patients.Methods:A total of 130 older adult patients subjected to THR in Department of Orthopedics, Huzhou Linghu People's Hospital between August 2019 and August 2021 were included in this study. In-hospital mortality was calculated. These patients were divided into death and survival groups according to whether they were dead or alive. Sex, age, smoking, drinking, disease type, complications, cardiovascular disease history, operation severity score, operative time, amount of intraoperative blood loss, postoperative osteoporosis treatment and postoperative rehabilitation training were compared between the two groups. The risk factors that influence in-hospital mortality were analyzed using logistic analysis method.Results:Among 130 patients, 9 patients died in Huzhou Linghu People's Hospital, with the mortality of 6.92%. Thus, there were 9 patients in the death group and 121 patients in the survival group. There were significant differences in age, smoking, complications, operation severity score and postoperative osteoporosis treatment between the two groups ( t = 1.70, χ2 = 5.48, χ2 = 4.09, t = 2.86, χ2 = 4.03, all P < 0.05). Multivariate logistic analysis showed that the age (≥ 85 years old), smoking (yes), complications (≥ 3), operation severity score (≥ 15 points) were the risk factors that influence in-hospital mortality. Postoperative osteoporosis treatment was the protective factor of THR. Conclusion:The in-hospital mortality of older adult patients after THR is high. Age ≥ 85 years old, smoking, complications ≥ 3, and operation severity score ≥ 15 are the risk factors of THR and may greatly affect the prognosis. More attention should be paid to older adult patients who have these risk factors.
