지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Background: Few studies have investigated the effects of sarcopenia on postoperative outcomes including mortality rates following surgery for osteoporotic hip fractures. The purpose of the present study was to determine the prevalence of sarcopenia and the relationship between sarcopenia and 1- and 5-year mortality rates in a consecutive series of patients with osteoporotic hip fractures. Methods: Among patients who underwent hip surgery for osteoporotic hip fractures, this study included 91 patients subjected to abdominal computed tomography within 1 year of hip surgery. We defined sarcopenia using sex-specific cut-off points for the skeletal muscle index at the level of the third lumbar vertebra. All patients were divided into 2 groups according to the presence or absence of sarcopenia and the 1- and 5-year mortality rates were compared. To confirm factors affecting mortality in addition to sarcopenia, we examined patient age, sex, American Society of Anesthesiologists grade, location of fracture, type of surgery, and bone mineral density. Results: The 1- and 5-year mortality rates were 20.9% and 67.2%, respectively. Among the 45 patients with sarcopenia, the 1- and 5-year mortality rates were 22.2% and 82.7%, respectively. Of the 46 patients without sarcopenia, the 1- and 5-year mortality rates were 19.6% and 52.7%, respectively. Results of the Kaplan-Meier analysis showed that sarcopenia did not affect the 1-year mortality rate (P=0.793), but had a significant effect on the 5-year mortality rate (P=0.028). Both perioperative sarcopenia (P=0.018) and osteoporosis (P=0.000) affected the 5-year mortality rate. Conclusions: Sarcopenia increases the risk of 5-year mortality in patients with osteoporotic hip fractures.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Folbert EC / 2017 / Improved 1-year mortality in elderly patients with a hip fracture following integrated orthogeriatric treatment / Osteoporos Int 28:269~277
Osnes EK / 2004 / Consequences of hip fracture on activities of daily life and residential needs / Osteoporos Int 15:567~574
Choi HJ / 2012 / Burden of osteoporosis in adults in Korea: a national health insurance database study / J Bone Miner Metab 30:54~58
Canale ST / 2008 / Campbell's operative orthopaedics / Mosby Elsevier Corp
Cruz-Jentoft AJ / 2010 / Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People / Age Ageing 39:412~423
Osnes EK / 2004 / Consequences of hip fracture on activities of daily life and residential needs / Osteoporos Int 15:567~574
Choi HJ / 2012 / Burden of osteoporosis in adults in Korea: a national health insurance database study / J Bone Miner Metab 30:54~58
Canale ST / 2008 / Campbell's operative orthopaedics / Mosby Elsevier Corp
Cruz-Jentoft AJ / 2010 / Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People / Age Ageing 39:412~423
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