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Analysis of risk factors for perioperative mortality in elderly patients with intertrochanteric fracture

  • Fulong Zhao
  • Xuefei Wang
  • Yuechao Dou
  • Hailong Wang
  • Yakui ZhangEmail author
Original Article • HIP - FRACTURES
  • 47 Downloads

Abstract

Objective

To investigate risk factors for perioperative death in elderly patients with intertrochanteric fracture.

Methods

Clinical data from 1051 cases with intertrochanteric fracture from March 2005 to March 2015 were reviewed and analyzed, and causes of death during the perioperative period were statistically analyzed. Various indicators were compared by t test and χ2 test. Multivariate analysis was performed using non-conditional logistic regression analysis.

Results

Chronic diseases of major organs (heart, brain, and lung), postoperative complications, and various indicators within 24 h after admission (albumin, hemoglobin, brain natriuretic peptide [BNP], glucose, creatinine, arterial blood pH, PaO2, and APACHE II) were statistically significantly different between patients who survived and those who died. Logistic regression analysis indicated that postoperative complications, APACHE II score, BNP, and chronic diseases of major organs were the risk factors for perioperative mortality in elderly patients with intertrochanteric fracture.

Conclusion

BNP and APACHE II score could be used as important reference indexes for predicting possible perioperative mortality in elderly patients with intertrochanteric fracture and chronic diseases of major organs. Complications after fracture may be also risk factors.

Keywords

Elderly patients Intertrochanteric fracture Perioperative mortality Risk factors 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that we have no conflict of interest.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Trauma OrthopedicsBeijing Luhe Hospital Affiliated to Capital Medical UniversityBeijingPeople’s Republic of China

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