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Japanese
Title :
90歳以上の大腿骨転子部骨折術後症例の生命予後と歩行能力
Subtitle :
原著論文
Authors :
佐々木英嗣1,2), 竹川大貴1), 苅田祐希子1), 小渡健司1), 中村吉秀1), 新戸部泰輔1), 石橋恭之2)
Authors (kana) :
Organization :
1)つがる総合病院整形外科, 2)弘前大学大学院医学研究科整形外科
Journal :
東日本整形災害外科学会雑誌
Volume :
28
Number :
2
Page :
112 - 116
Year/Month :
2016 /
Article :
原著
Publisher :
東日本整形災害外科学会
Abstract :
「抄録」: 90歳以上の大腿骨転子部骨折症例の術後1年生存率は83.5%と非手術群の61.5%より低く, 平均生存期間は13ヵ月長かった. 術後1年以内の死因は肺炎が半数であり, 死亡への影響因子は受傷前の歩行能力と呼吸器疾患であった. 歩行能力再獲得例は1/3に限られたが, 半数は寝たきりへの移行を予防でき, 本骨折術後には本邦の90歳での平均余命と同等の余命が見込める結果が示された.
Practice :
臨床医学:外科系
Keywords :
super-aged population 超高齢者, trochanteric fracture of the femur 大腿骨転子部骨折, mortality 死亡率
  
English
Title :
Post-traumatic mortality and ambulatory ability of trochanteric fracture of the femur in patients aged 90 years and over
Subtitle :
Authors :
Eiji SASAKI1,2), Daiki TAKEKAWA1), Yukiko KARITA1), Kenji KOWATARI1), Yoshihide NAKAMURA1), Taisuke NITOBE1), Yasuyuki ISHIBASHI2)
Authors (kana) :
Organization :
1)Department of Orthopedic Surgery, Tsugaru General Hospital, 2)Department of Orthopedic Surgery, Hirosaki University Graduate School of Medicine
Journal :
Journal of the Eastern Japan Association of Orthopaedics and Traumatology
Volume :
28
Number :
2
Page :
112 - 116
Year/Month :
2016 /
Article :
Original article
Publisher :
The Eastern Japan Association of Orthopeadics and Traumatology
Abstract :
[Abstract]: Objective: The purpose of this study was to investigate post-traumatic mortality and ambulatory abilities in trochanteric fracture patients aged 90 years and over. Methods: Subjects were 104 patients (10 males and 94 females) with trochanteric fracture of the femur at age 90 and over. We investigated their survival, cause of death, and underlying diseases. Ambulatory abilities at pretrauma and 1-year after injury were also researched. Mortality at 1-year after injury and average survival period were estimated by Kaplan-Meier method. Related factors to death within 1-year after injury were investigated by underlying disease and pre-traumatic ambulatory ability. Results: Ninety patients underwent surgery, and 15 patients (16.5%) died within 1-year with the leading cause of death being pneumonia (46.7%). Mortality within 1-year of non-operated patients was up to 38.5%. Correlated factors for death within 1-year were poorer pre-traumatic ambulation and coexistence of respiratory disease. 50.6% of postoperative patients became newly bedridden, contrary to high prevalence of bedridden in those who didn't survive. Conclusions: Post-traumatic 1-year mortality of trochanteric fracture in those aged 90 years and over was 16.5%, and death related factors were pre-traumatic poor ambulatory abilities and respiratory diseases. Half of postoperative patients were able to prevent bedridden even in this super-aged population.
Practice :
Clinical surgery
Keywords :
super-aged population, trochanteric fracture of the femur, mortality
  

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