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アイテム

  1. Public
  2. 研究紀要
  3. ACTA MEDICA KINDAI UNIVERSITY
  4. 48(2)2023

Long-term outcomes in elderly patients with femoral neck fractures

https://doi.org/10.15100/0002000434
https://doi.org/10.15100/0002000434
ca820797-e5b1-4199-a7aa-478ce6edbada
名前 / ファイル ライセンス アクション
AA0050842X-20221200-0039.pdf AA0050842X-20221200-0039.pdf
アイテムタイプ 紀要論文 / departmental bulletin paper(1)
公開日 2023-12-22
タイトル
タイトル Long-term outcomes in elderly patients with femoral neck fractures
言語 en
作成者 Nishimura, Shunji

× Nishimura, Shunji

en Nishimura, Shunji
Kindai University Hospital

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Hashimoto, Kazuhiko

× Hashimoto, Kazuhiko

en Hashimoto, Kazuhiko
Kindai University Hospital

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Goto, Kouji

× Goto, Kouji

en Goto, Kouji
Kindai University Hospital

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言語
言語 eng
キーワード
主題 femoral neck fracture, elderly patient, prognostic factor, over 90 years, survival rate
内容記述
内容記述タイプ Abstract
内容記述 Background:
As the population ages, patients of femoral neck fractures (FNF) are increasing, however, reports of long-term outcomes and causes of death are limited. The purpose of the current study is to report the longterm postoperative outcome and cause of death of FNF.
Patients and Methods:
The study included 35 patients over 65 years of age with femoral neck fractures treated between January 2014 and December 2016 in our department. Five males and 30 females with a median age of 89 ± 6.35 years (range: 67-97) were included. The mean±S.D. observation period was 90 ± 30.8 months. The overall survival rate was investigated. Also, Survival rates were compared by sex. In addition, survival rates were compared between patients over 90 years of age and those under 90 years of age. Comorbidities were also surveyed. Cases that had died at the last observation were also examined for cause of death. Furthermore, the presence or absence of a relationship between cause of death and comorbidity was examined.
Results:
The 5-year survival rate was 80%. The 5-year survival rates for both males and females were 80%, with no significant differences (p= 0.92). The 5-year survival rates for patients over and under 90 years of age were 73.3% and 85%, respectively, with no significant differences (p=0.65). Of all patients, 30/35 had comorbidities requiring treatment. The causes of death were abdominal aortic aneurysm in two cases, acute myocardial infarction in two cases, aspiration pneumonia, worsening heart failure, cerebral hemorrhage, and lung cancer in one case each. All patients who had died at the last observation had comorbidities, whereas 81.4% of survivors had comorbidities. A link between cause of death and comorbidity was found in 50% of cases.
Conclusion:
Management of perioperative comorbidities is important to improve the long-term prognosis of FNF.
言語 en
出版者
出版者 The Kindai University Medical Association
言語 en
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
ID登録
ID登録 10.15100/0002000434
ID登録タイプ JaLC
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 03866092
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 24327166
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 48, 号 2, p. 39-43, 発行日 2023-12
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