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Elderly patients with hip fracture complications and causes of death
PAGE \* MERGEFORMAT 9
Elderly patients with hip fracture complications and causes of death
Study: System Dingli Xiang Fang Xiu Qi Zhang Gen Yao Ai Chen Yingchun Yu Shen
[Keywords:] hip fractures; complications; mortality; senior citizens
Non-surgical treatment of the elderly femoral neck fracture and intertrochanteric fracture can cause more complications, mortality up to 10% to 20%. Total hip arthroplasty, internal fixation of femoral head replacement and hip fracture surgery is the effective treatment measures. In this paper, our hospital from 2006 to 2008, 167 cases of elderly hip fracture surgery were retrospectively analyzed.
1 Clinical data
1.1 General information on 167 cases of hip fracture in elderly surgical patients, 77 males, female 90 cases, aged 70 to 94 years, mean 79.6 years .70 to 79 age group 80 cases, 80 to 89 age group, 54 patients aged 90 to 99 33 cases. old fracture in 7 cases, 160 cases of fresh fractures. surgical emergency in 78 cases, 89 patients undergoing elective surgery. surgical procedures: total hip replacement in 17 cases, 90 cases of hemiarthroplasty, PFN fixation of 60 cases. preoperative 145 cases of coexisting diseases exist, there is a coexisting disease, 43 cases (30.3%), there are two coexisting diseases, 40 patients (28.6%), with more than 3 or 3 comorbidities, 62 patients (41.1%).
1.2 Data collection methods reviewed 167 cases of patients of all clinical data of the original. Preoperative health status of patients to make comprehensive assessment of patients with postoperative complications and causes of death, sent to all discharged patients survey questionnaire included health status of patients after surgery.
1.3 before surgery in elderly patients and the general health status classification according to the patients general health (including: activity, daily living and coexisting disease conditions) the elderly patients were divided into “high risk group”, “moderate risk group” and “relative Se
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