Factors influencing the prognosis of elderly patients with hip fracture after nonoperative management

doi:10.3969/j.issn.2095-4344.2013.04.029

Abstract

Abstract:

BACKGROUND: Hip fracture is common fracture type in the elderly patients, and most of the patients were treated with operation. But there are still a lot of patients treated with non-operation therapy for a variety of reasons.
OBJECTIVE: To explore the factors that influence the prognosis of elderly patients with hip fracture treatednon-surgically.
METHODS: Sixty-one elderly patients aged more than 60 years with hip fracture were collected from January 2001 to December 2007 and treated non-surgically, and the clinical data of the patients were retrospectively analyzed. Data of comorbidities, Harris hip score and other important data were collected. The SPSS 13.0 software was used to analyze the prognostic factors through univariate and multivariate method in order to find the factors that could affect the survival of the elderly patients with hip fracture treated non-surgically.
RESULTS AND CONCLUSION: After followed-up to July 2008, 19 patients survived. The result of Harris hip score in 19 survival case was 43.58 in average. Among the 19 survival cases, 11 patients < 70 years old and the Harris hip score was (55.81±29.59); 8 patients > 70 years old and the Harris hip score was (26.75±23.58). There was a significant difference of Harris hip score between them (P < 0.05). The 1, 2 and 5 years survival rates of the 61 cases were 0.803±0.051, 0.607±0.063 and 0.301±0.072, respectively. Based on univariate log-rank analysis, age, posture (bedridden or non-bedridden) and the serum albumin concentration had great significance on the prognosis (P < 0.05). COX multivariate regression analysis showed that age and posture (bedridden or non-bedridden) had independent prognostic significance (P < 0.05). It showed that for the elderly patients over 70 years old with hip fracture treated non-surgically, age and posture (bedridden or non-bedridden) were the main factors to affect the survival rate.

Key words: bone and joint implants, clinical practice of bone and joint implants, hip, fracture, elderly, non-surgical treatment, prognosis, survival rate, supine state, albumin, assessment

CLC Number:

R318

Yang Zi-bo, Xiang Shan-shan, Zhang Zhi-qi, Liu Jin, Zhang Zi-ji, Kang Yan, Liao Wei-ming, Fu Ming. Factors influencing the prognosis of elderly patients with hip fracture after nonoperative management[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(4): 755-760.

Figures/Tables 3

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