Analysis Of Factors Influencing The Prognosis Of Hip Fracture In The Elderly

Objectives To analyze the related risk factors influencing one-year mortality and oneyear hip function in the elderly patients with hip fracture so as to establish the theoretical basis and provide guidance for clinical treatment.Methods Data of 351 patients who met the inclusion criteria and had complete were collected from September 2010 to September 2017 in the Affiliated Hospital of North China University of Science and Technology and the Affiliated Orthopaedic Hospital of North China University of Science and Technology.The factors influencing the 1-year mortality and the 1-year hip function were analyzed,including 14 factors,such as age,pretraumatic ability to walk,pre-traumatic complications,therapies and post-traumatic complications.All factors were analyzed by SPSS17.0 statistical software.Chi-square test or corrected Chi-square test was used to analyze the single factor of research factors.P<0.05 was taken as the significant difference.The meaningless factors were excluded and the factors with statistical significance were analyzed by multivariate Logistic regression.Results Age,pre-traumatic ability to walk,pre-traumatic complications,treatment methods,waiting time for operation and post-traumatic complications had significant effects on the 1-year mortality of elderly hip fracture patients.Age,pre-traumatic ability to walk,pre-traumatic complications,treatment methods,waiting time for operation,anesthesia methods,intraoperative blood loss,time of operation and complications of hip fracture in the elderly have a significant impact on the recovery of hip function.The factors of each patient were further analyzed by multivariate Logistic regression.Age,pretraumatic ability to walk,pre-traumatic complications,treatment methods and posttraumatic complications are independent risk factors affecting one-year mortality and oneyear hip function in the elderly patients with hip fracture.Conclusions 1 Elderly patients with hip fracture should strive for surgical treatment as soon as possible after injury,especially elderly patients.The time of operation and intraoperative blood loss should be shortened as much as possible during the operation.2 The elderly patients who are older,have more pre-traumatic complications,worse pre-traumatic ability to walk and more post-traumatic complications will have higher 1-year mortality rate and worse recovery of hip function after hip fracture.3 The elderly patients who are older,have more pre-traumatic com-plications,worse pre-traumatic ability to walk and more post-traumatic complications will have worse recovery of hip function after hip fracture.Figure 0;Table 33;Reference 142.