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Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study
AIM: The purpose of this study was to analyze the potential risk factors for mortality 1 year after hip fracture surgery in critically ill older adults. METHODS: We reviewed 591 critically ill older adults who underwent hip surgery at our institution from January 2018 to April 2021. We collected bas...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470770/ https://www.ncbi.nlm.nih.gov/pubmed/36117846 http://dx.doi.org/10.3389/fsurg.2022.973059 |
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author | Luo, Taijun Zhang, Juxia Zhou, Haibin Xu, Tao Zhang, Wenchao Wang, Geng |
author_facet | Luo, Taijun Zhang, Juxia Zhou, Haibin Xu, Tao Zhang, Wenchao Wang, Geng |
author_sort | Luo, Taijun |
collection | PubMed |
description | AIM: The purpose of this study was to analyze the potential risk factors for mortality 1 year after hip fracture surgery in critically ill older adults. METHODS: We reviewed 591 critically ill older adults who underwent hip surgery at our institution from January 2018 to April 2021. We collected baseline demographics, clinical information, and 1-year survival status of the sample patients by means of medical record systems and follow-up phone calls. Patients were divided into survival and mortality groups based on survival within 1 year after surgery. RESULTS: Based on the results of the 1-year postoperative follow-up of patients, we obtained 117 cases in the death group and 474 cases in the survival group, and this led to a 1-year mortality rate of 19.8% (117/591) after hip fracture in critically ill older adults at our hospital. The risk factors that influenced the 1-year postoperative mortality were identified as advanced age (HR:1.04, 95%, 1.01–1.06), preoperative arrhythmia (HR: 1.95, 95%, 1.26–2.70), high level of NLR (HR:1.03, 95%, 1.01–1.06), respiratory failure (HR: 2.63, 95%, 1.32–5.23), and acute cardiovascular failure. 5.23) and acute cardiovascular events (HR: 1.65, 95%, 1.05–2.59). CONCLUSION: Advanced age, preoperative arrhythmias, high levels of NLR, postoperative respiratory failure, and acute cardiovascular events were independent risk factors for survival of critically ill older adults with hip fracture at 1 year after surgery. Therefore, laboratory tests such as high levels of preoperative NLR can be an important indicator of patient prognosis. |
format | Online Article Text |
id | pubmed-9470770 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-94707702022-09-15 Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study Luo, Taijun Zhang, Juxia Zhou, Haibin Xu, Tao Zhang, Wenchao Wang, Geng Front Surg Surgery AIM: The purpose of this study was to analyze the potential risk factors for mortality 1 year after hip fracture surgery in critically ill older adults. METHODS: We reviewed 591 critically ill older adults who underwent hip surgery at our institution from January 2018 to April 2021. We collected baseline demographics, clinical information, and 1-year survival status of the sample patients by means of medical record systems and follow-up phone calls. Patients were divided into survival and mortality groups based on survival within 1 year after surgery. RESULTS: Based on the results of the 1-year postoperative follow-up of patients, we obtained 117 cases in the death group and 474 cases in the survival group, and this led to a 1-year mortality rate of 19.8% (117/591) after hip fracture in critically ill older adults at our hospital. The risk factors that influenced the 1-year postoperative mortality were identified as advanced age (HR:1.04, 95%, 1.01–1.06), preoperative arrhythmia (HR: 1.95, 95%, 1.26–2.70), high level of NLR (HR:1.03, 95%, 1.01–1.06), respiratory failure (HR: 2.63, 95%, 1.32–5.23), and acute cardiovascular failure. 5.23) and acute cardiovascular events (HR: 1.65, 95%, 1.05–2.59). CONCLUSION: Advanced age, preoperative arrhythmias, high levels of NLR, postoperative respiratory failure, and acute cardiovascular events were independent risk factors for survival of critically ill older adults with hip fracture at 1 year after surgery. Therefore, laboratory tests such as high levels of preoperative NLR can be an important indicator of patient prognosis. Frontiers Media S.A. 2022-08-31 /pmc/articles/PMC9470770/ /pubmed/36117846 http://dx.doi.org/10.3389/fsurg.2022.973059 Text en © 2022 Luo, Zhang, Zhou, Xu, Zhang and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Luo, Taijun Zhang, Juxia Zhou, Haibin Xu, Tao Zhang, Wenchao Wang, Geng Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study |
title | Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study |
title_full | Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study |
title_fullStr | Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study |
title_full_unstemmed | Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study |
title_short | Identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: A single medical center retrospective study |
title_sort | identification of risk factors for 1-year mortality among critically ill older adults with hip fractures surgery: a single medical center retrospective study |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470770/ https://www.ncbi.nlm.nih.gov/pubmed/36117846 http://dx.doi.org/10.3389/fsurg.2022.973059 |
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