Objective To explore the predictive value of hemoglobin(HGB)and albumin(ALB)levels on admission in postoperative prognosis of intertrochanteric fractures(ITF).Methods A retrospective study was conducted on 92 ITF patients who underwent surgical treatment in the Department of Orthopedics of Beijing Jingmei Group General Hospital from May 2019 to May 2022.Based on the Harris Hip Score at 6 months after surgery,the patients were divided into the good prognosis group(n=72)and poor prognosis group(n=18).The baseline data and laboratory indicators like HGB and ALB were compared between the two groups.The predictive value of HGB and ALB on admission in the prognosis of ITF was explored by plotting the receiver operating characteristic(ROC)curve.Results Patients in the poor prognosis group had significantly older age,larger cases of postoperative complications,and lower ALB and HGB on admission than those of good prognosis group(P<0.05).Pearson correlation analysis showed that ALB,HGB,age and cases of postoperative complications were significantly correlated with the postoperative HHS in ITF patients(P<0.05).The receiver operating characteristic(ROC)curve showed that the area under the curve(AUC)of ALB,HGB,ALB+HGB and a combination of all indicators in predicting the postoperative prognosis of ITF was 0.810,0.855,0.924,and 0.958,respectively.AUC was high in ALB+HGB and a combination of all indicators,which was comparable without a significant difference(Z=0.908,P=0.364).Conclusion HGB and ALB on admission can better predict the postoperative prognosis of ITF.The lower the values of both,the greater the likelihood of poor postoperative prognosis in ITF patients.
万方数据
维普
