THE MORTALITY AND SOCIAL PROGNOSIS OF HIP-FRACTURES - A PROSPECTIVE MULTIFACTORIAL STUDY

被引：58
作者：
PITTO, RP
机构：
[1] I Clinica Ortopedica, Universitá di Firenze
来源：
INTERNATIONAL ORTHOPAEDICS | 1994年 / 18卷 / 02期
关键词：
D O I：
10.1007/BF02484420
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
A prospective 5-year study was carried out of 143 patients with trochanteric fractures treated by Ender nailing. A detailed proforma was used for multifactorial analysis in order to identify the prognostic indicators of social function and quality of life of the patients. Their mean age was 81 years and the female: male ratio 7:1. The mortality rate 6 months after injury was 23%, and at the end of 5 years 45.5%. The patients surviving the first 6 months had the same life expectancy as the general population. Dementia, associated disease, medical complications, total dependency and age were the most significant predictors of mortality. These factors, with pressure sores and poor rehabilitation, were also significant in determining the prognosis of social function. Deterioration of health status was seen in 36% during the first 6 months after injury and 40% showed deterioration of their social condition within this period Later, most survivors recovered and were restored to their previous state. Postoperative geriatric care is essential to achieve this aim.
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页码：109 / 113
页数：5
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  • [1] Bauer G.C., Hannson L.I., Lidgren L., Et al., Comprehensive care of hip fractures, (1985)
  • [2] Borgquist L., Ceder L., Thorngren K.G., Function and social status 10 years after hip fracture. Prospective follow-up of 103 patients, Acta Orthop Scand, 61, pp. 404-410, (1990)
  • [3] Borgquist L., Nordell E., Jarnlo G.B., Et al., Hip fractures in primary health care. Evaluation of a rehabilitation programme, Scand J Prim Health Care, 8, pp. 139-144, (1990)
  • [4] Bredahl C., Nyholm B., Hindsholm K.B., Et al., Mortality after hip fracture: results of operation within 12 h of admission, Injury, 23, pp. 83-86, (1992)
  • [5] Broos P.L., Van Haaften K.I., Stappaerts K.H., Et al., Hip fractures in the elderly. Mortality, functional results and social readaptation, Int Surg, 74, pp. 191-200, (1989)
  • [6] Ceder L., Ekelund L., Inerot S., Et al., Rehabilitation after hip fracture in the elderly, Acta Orthop Scand, 50, pp. 681-688, (1979)
  • [7] Ceder L., Hip fracture in the elderly. Prognosis and rehabilitation, (1980)
  • [8] Cobey J.C., Cobey J.H., Conant L., Et al., Indicators of recovery from fractures of the hip, Clin Orthop Rel Res, 117, pp. 258-263, (1976)
  • [9] Dahl E., Mortality and life expectancy after hip fractures, Acta Orthop Scand, 51, pp. 163-170, (1980)
  • [10] Davis T.R., Sher J.L., Porter B.B., Et al., The timing of surgery of intertrochanteric femoral fractures, Injury, 19, pp. 244-249, (1988)
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