نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشگاه علوم پزشکی مشهد
2 دانشگاه علوم پزشکی بیرجند
چکیده
هدف: هدف از این مطالعه بررسی میزان اثرعوامل مختلف در پیش آگهی بیماران مسن با شکستگی ناحیه هیپ میباشد تا با پیش بینی دقیق تر از پیش آگهی ، انتخاب نوع درمان جراحی یا غیر جراحی برای پزشک و بیمار راحت تر شود.
روش اجرا و مواد مورد استفاده: این مطالعه اپیدمیولوژیک بر روی بیماران با سن بیشتر از ۶۵ سال که با تشخیص شکستگی ناحیه هیپ در طی یکسال مراجعه کرده اند انجام شد. متغیرهای مستقل شامل جنس، سن بیمار، بیماری های همزمان، زمان سپری شده از شکستگی تا جراحی و نوع بیهوشی و در مورد متغیرهای وابسته امتیاز بارتل، مرگ و میر بعد از عمل و نوع روش درمان ارزیابی شد
یافته‌ها: سن متوسط جمعیت مورد مطالعه (۱۶۳ نفر) ۷.۷ ±۷۸.۷- با بازه سنی ۹۷ـ۶۵ که شامل ۹۱زن (۵۵.۸٪) و ۷۲ مرد (۴۴.۲٪) بود. بیشترین تعداد بیماران ما در بازه سنی ۷۶ تا ۸۵ سال(٪۴۸)قرار داشت. تعداد مرگ و میر در بیمارانی که تحت عمل جراحی قرار نگرفته اند در ماه نخست پس از شکستگی، در شکستگی گردن فمور ۳نفر (٪۱۱.۵) و در شکستگی اینترتروکانتریک نیز ۳ نفر (٪۱۱.۵) بود و همچنین تعداد مرگ و میر در یازده ماه بعدی پیگیری، در شکستگی گردن فمور یک نفر (٪۳.۸) و در شکستگی اینترتروکانتریک ۳ نفر(٪۱۱.۵) بود.
نتیجه‌گیری: در این مطالعه سن بیماران یک فاکتور تعیین کننده مهم میزان مرگ و میر بوده ، به گونه ای که با افزایش سن میزان مورتالیتی نیز افزایش پیدا کرده است،ولی نوع جنسیت در افزایش مرگ و میر موثر نیست
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
Evaluation of short-term and long-term outcomes related to mortality in hip fractures in people over 65 years of age
چکیده [English]
Objective: The aim of this study was to evaluate the effect of various factors on the prognosis of elderly patients with hip fractures to make it easier for physicians and patients to choose the type of surgical or non-surgical treatment with more accurate prognosis.
Methods and materials used: This epidemiological study was performed on patients older than 65 years who presented with a diagnosis of hip fracture within one year. Independent variables including sex, age of the patient, concomitant diseases, time elapsed from fracture to surgery and type of anesthesia were evaluated for Bartel score, postoperative mortality and type of treatment.
Results: The mean age of the study population (163 people) was 7.7 ± 78.7- with the age range of 65-97 which included 91 women (55.8%) and 72 men (44.2%). The highest number of our patients was in the age range of 76 to 85 years (48%). The number of deaths in patients who did not undergo surgery in the first month after the fracture was 3 (۱ 11.5) in femoral neck fractures and 3 (۵ 11.5) in intracentric fractures. In the next eleven months of follow-up, Mir had one patient (۸ 3.8) in femoral neck fractures and three patients (11.5 ٪) in intracentric fractures.
Conclusion: In this study, the age of patients was an important determinant of mortality, so that mortality has increased with age, but the type of gender is not effective in increasing mortality.
کلیدواژه‌ها [English]
- Hip fractures
- femoral neck fractures
- intertrochanteric fractures
- mortality
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