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Long-term outcomes in elderly patients with femoral neck fractures
https://doi.org/10.15100/0002000434
https://doi.org/10.15100/0002000434ca820797-e5b1-4199-a7aa-478ce6edbada
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
AA0050842X-20221200-0039.pdf
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| Item type | 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
× Hashimoto, Kazuhiko
× Goto, Kouji
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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. |
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| 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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