The influence of perioperative care and treatment on the 4-month outcome in elderly patients with hip fracture.

Björkman Björkelund, KarinLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Department of Health Sciences,Faculty of Medicine,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Lund University, Department of Health Sciences, Lund, Sweden (författare)

The purpose of this descriptive cohort study was to identify perioperative risk factors associated with postoperative outcome up to 4 months after surgery in elderly patients with hip fracture. Data were collected prospectively through the Swedish National Hip Fracture, the local Acute and Emergency, and Anesthesia registers, and retrospectively from medical and nursing records. The 428 patients (aged > or = 65 years) with hip fracture were consecutively included. Multiple logistic regression analyses were used to identify factors predicting each of 4 outcomes. Perioperative risk factors predicting death within 4 months after surgery were fasting time of 12 or more hours and blood transfusion of 1 U or more. Risk factors predicting postoperative confusion were postoperative oxygen saturation less than 90% and fasting time 12 hours or longer. Risk factors predicting in-hospital complications were transfusion of 1 or more units of blood, preoperative oxygen saturation less than 90%, and fasting time 12 hours or more. Risk factor predicting length of stay longer than 10 days was blood transfusion of 1 U or more. To minimize morbidity and mortality, providers should increase efforts to optimize the patients' oxygen saturation and hemoglobin level and reduce fasting time and waiting time for surgery.

Hommel, AmiLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Lund University, the Department of Health Sciences and the Department of Orthopedics, Clinical Sciences.(Swepub:mau)af4839 (författare)
Thorngren, Karl-GöranLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University, Department of Orthopedics, Clinical Sciences(Swepub:lu)ort-kgth (författare)
Lundberg, DagLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University, Department of Anesthesiology and Intensive Care, Clinical Sciences(Swepub:lu)anes-dlu (författare)
Larsson, SylviaDepartment of Cardiothoracic Surgery, Lund University Hospital (författare)
Institutionen för hälsovetenskaperMedicinska fakulteten (creator_code:org_t)

Av författaren/redakt...: Björkman Björkel ...; Hommel, Ami; Thorngren, Karl- ...; Lundberg, Dag; Larsson, Sylvia

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

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