Risk factors and prognosis of acute stroke within 1 year after hip fracture surgery in elderly patients
10.3760/cma.j.issn.0254-9026.2023.06.016
- VernacularTitle:老年髋部骨折患者术后1年脑卒中发生危险因素及预后分析
- Author:
Xiaobin CHEN
1
;
Daojing QIU
;
Yuanming HE
;
Meng LU
;
Ben XIAO
;
Xuejun LI
Author Information
1. 首都医科大学附属北京同仁医院骨科，北京 100176
- Keywords:
Hip fractures;
Stroke;
Risk factors;
Treatment outcome
- From:
Chinese Journal of Geriatrics
2023;42(6):711-714
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the risk factors of acute stroke within 1 year after hip fracture in the elderly and its effect on prognosis.Methods:From January 2018 to December 2020, 278 elderly hip fracture patients undergoing surgery were retrospectively analyzed, including 101 males and 177 females, aged from 60 to 99 years with an average of(78.9±8.7)years.According to whether acute stroke occurred within 1 year after operation, the patients were divided into stroke group and non-stroke group.A multivariate Logistic regression was used to evaluate the risk factors for acute stroke within 1 year after hip fracture, and the prognosis was analyzed.Results:Acute stroke occurred in 28 patients(10.1%)within 1 year after operation, and the peak of stroke onset occurred in the third months after operation.Patients in the stroke group were older, and had a higher proportion of hypertension, arrhythmia, previous stroke history, and use of anticoagulant or antiplatelet drugs before fracture( P<0.05 for all). Multivariate Logistic regression analysis showed that advanced age( OR=1.078, 95% CI=1.007-1.153, P=0.030), male( OR=2.643, 95% CI=1.060-6.742, P=0.037)and previous stroke history( OR=12.202, 95% CI=4.662-31.940, P<0.001)were independent risk factors for stroke in elderly patients with hip fracture within 1 year after operation.The 1-year mortality, complication rate and readmission rate in the stroke group were significantly higher than those in the non-stroke group( P<0.05 for all). Conclusions:The incidence of stroke is high in elderly patients with hip fracture within 1 year after operation.Older age, male, and previous stroke history were independent risk factors for acute stroke.The prognosis of stroke was poor in elderly patients with hip fracture, and the 1-year mortality, complication and readmission rates were high.
