Effect of ERAS on 1-year Mortality After Hip Fracture Surgery in Elderly Patients
Objective:To explore the effect of ERAS on 1-year mortality after hip fracture surgery in the elderly.Methods:Retrospective analysis was conducted on 437 cases of hip fractures including femoral neck fractures and intertrochanteric fractures of the elderly over 70 years old admitted in the hospital from January 1,2018 to December 31,2020,including 244 cases in ERAS groupand 193 cases in non-ERAS group.Age,intraoperative blood loss,operation time,length of stay,perioperative mortality,the number of deaths within 3 months after discharge,the number of deaths within 1 year after discharge,incidence of pulmonary infection,lower limb deep vein thrombosis,and decubitus within 1 year after discharge of two groups were compared.Results:There was no significant difference in age,operation time and intraoperative blood transfusion volume between the two groups(t=1.510,0.388,0.150,P＞0.05).The length of hospital stay in ERAS group was less than that in non-ERAS group,and the difference was statistically significant(t=2.294;P＜0.05).There was no significant difference in the number of perioperative death and bedsore occurrence between the two groups(P＞0.05).The number of deaths,pulmonary infection and deep vein thrombosis at 3 months,1 year and 1 year after discharge in ERAS group was lower than that in non-ERAS group,with statistically significant differences(P＜0.05).Conclusion:ERAS can reduce length of stay,the incidence of postoperative pulmonary infection,deep vein thrombosis,the mortality within one year after surgery in elderly patients with hip fracture.
万方数据
维普
