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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.6
- 발행연도
- 2015.1
- 수록면
- 561 - 567 (7page)
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초록· 키워드
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Background: Hip fracture surgery on elderly patients is associated with a high incidence of morbidity and mortality. The aim of this study is to identify the risk factors related to the postoperative mortality and complications following hip fracture surgery on elderly patients. Methods: In this retrospective study, the medical records of elderly patients (aged 65 years or older) who underwent hip fracture surgery from January 2011 to June 2014 were reviewed. A total of 464 patients were involved. Demographic data of the patients, American Society of Anesthesiologists physical status, preoperative comorbidities, type and duration of anesthesia and type of surgery were collected. Factors related to postoperative mortality and complications; as well as to intensive care unit admission were analyzed using logistic regression. Results: The incidence of postoperative mortality, cardiovascular complications, respiratory complications and intensive care unit (ICU) admission were 1.7, 4.7, 19.6 and 7.1%, respectively. Postoperative mortality was associated with preoperative respiratory comorbidities, postoperative cardiovascular complications (P < 0.05). Postoperative cardiovascular complications were related to frequent intraoperative hypotension (P < 0.05). Postoperative respiratory complications were related to age, preoperative renal failure, neurological comorbidities, and bedridden state (P < 0.05). ICU admission was associated with the time from injury to operation, preoperative neurological comorbidities and frequent intraoperative hypotension (P < 0.05). Conclusions: Adequate treatment of respiratory comorbidities and prevention of cardiovascular complications might be the critical factors in reducing postoperative mortality in elderly patients undergoing hip fracture surgery.
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참고문헌 (29)
참고문헌 신청
Gullberg B / 1997 / World-wide projections for hip fracture / Osteoporos Int 7:407~413
Bentrem DJ / 2009 / Identification of specific quality improvement opportunities for the elderly undergoing gastrointestinal surgery / Arch Surg 144:1013~1020
Pugely AJ / 2014 / A risk calculator for short-term morbidity and mortality after hip fracture surgery / J Orthop Trauma 28:63~69
Belmont PJ Jr / 2014 / Risk factors for complications and in-hospital mortality following hip fractures: a study using the National Trauma Data Bank / Arch Orthop Trauma Surg 134:597~604
Kenzora JE / 1984 / Hip fracture mortality. Relation to age, treatment, preoperative illness, time of surgery, and complications / Clin Orthop Relat Res (186):45~56
Bentrem DJ / 2009 / Identification of specific quality improvement opportunities for the elderly undergoing gastrointestinal surgery / Arch Surg 144:1013~1020
Pugely AJ / 2014 / A risk calculator for short-term morbidity and mortality after hip fracture surgery / J Orthop Trauma 28:63~69
Belmont PJ Jr / 2014 / Risk factors for complications and in-hospital mortality following hip fractures: a study using the National Trauma Data Bank / Arch Orthop Trauma Surg 134:597~604
Kenzora JE / 1984 / Hip fracture mortality. Relation to age, treatment, preoperative illness, time of surgery, and complications / Clin Orthop Relat Res (186):45~56
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