Analysis of risk factors for one-year mortality in elderly hip fracture patients with hemiplegia
Objective:To compare the risk factors for one-year mortality in elderly hip fracture patients with hemiplegia. Methods:A retrospective analysis was conducted on 223 elderly hip fracture patients with ipsilateral limb hemiplegia who were admitted to the Department of Orthopaedics of the Seventh Medical Center of Chinese People's Liberation Army General Hospital from January 2012 to December 2021. Patients were divided into a mortality group (73 cases) and a survival group (150 cases) based on whether they died within one year post-injury. The clinical data of the two groups were compared to analyze the risk factors for one-year mortality in elderly hip fracture patients with hemiplegia. Results:Univariate analysis showed that age,dementia,pulmonary infection,chronic obstructive pulmonary disease,pre-hip fracture activities of daily living (ADL) score,pre-hip fracture American Society of Anesthesiologists (ASA) classification,nonsurgical treatment,hospital stay,and postoperative complications were significantly related factors to one-year mortality in elderly hip fracture patients with hemiplegia (P<0.05). Multivariate logistic regression analysis revealed that age (OR=1.060,95％CI=1.008-1.116,P=0.025),pre-hip fracture ASA Ⅲ-Ⅳ level (OR=3.281,95％CI=1.563-6.884,P=0.002),pre-hip fracture ADL score (OR=0.890,95％CI=0.847-0.935,P<0.001),nonsurgical treatment (OR=2.084,95％CI=1.988-4.396,P=0.044),and postoperative complications (OR=4.491,95％CI=2.107-9.572,P<0.001) were independent risk factors affecting one-year mortality in elderly hip fracture patients with hemiplegia. Conclusions:Age,dementia,pre-hip fracture ASA grades Ⅲ-Ⅳ,pre-hip fracture ADL score,nonsurgical treatment,and postoperative complications are independent risk factors for one-year mortality in elderly hip fracture patients with hemiplegia. Therefore,surgical treatment should be prioritized for elderly hip fracture patients with hemiplegia to improve their prognosis and quality of life.
万方数据
维普
