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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...

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Autores principales: Luo, Taijun, Zhang, Juxia, Zhou, Haibin, Xu, Tao, Zhang, Wenchao, Wang, Geng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
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.
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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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