지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 10 - 15 (6page)
이용수
초록· 키워드
오류제보하기
Background: As the average life expectancy increases, anesthesiologists confront unique challenges in the perioperative care of elderly patients who have significant comorbidities. In this study, we evaluated Elixhauser comorbidity measures-based risk factors associated with 30- day mortality in patients aged 66 years and older who underwent femur fracture surgery. Methods: We used the Medical Information Mart for Intensive Care III which contains the medical records of patients admitted to the intensive care unit (ICU) at Beth Israel Deaconess Medical Center in the United States between 2001 and 2012 to identify patients admitted to the ICU after femur fracture surgery (n=209). Patients who died within 30 days of admission (case group, n=49) were propensity score-matched to patients who did not (control group, n=98). The variables for matching were age, sex, race, anemia (hemoglobin ≤10 g/dl), and malignancy. We attempted to explain mortality via nine independent factors: hypertension, uncomplicated diabetes, complicated diabetes, congestive heart failure (CHF), cardiac arrhythmias, chronic pulmonary disease, renal failure, neurological disorders other than paralysis, and peripheral vascular disease. Results: Logistic regression identified three significant risk factors: CHF, arrhythmias, and neurological disorders other than paralysis. The odds ratio (OR) for the 30-day mortality of CHF was 4.99 (95% confidence interval [CI], 2.18 to 12.06). The equivalent ORs for cardiac arrhythmias and neurological disorders other than paralysis were 2.61 (95% CI, 1.14 to 6.21) and 2.40 (95% CI, 0.95 to 6.48), respectively. Conclusions: Identifying patients with these risk factors (CHF, arrhythmias, and neurological disorders other than paralysis) will assist clinicians with perioperative planning and provide caregivers with valuable information for decision-making.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Association of Anaesthetists of Great Britain / 2012 / Management of proximal femoral fractures 2011 : Association of Anaesthetists of Great Britain and Ireland / Anaesthesia 67:85~98
이동규 / 2019 / 노인 고관절 골절 환자의 수술을 위한 마취 관리 / Anesthesia and Pain Medicine 14(1):8~18
Charlson M / 1994 / Validation of a combined comorbidity index / J Clin Epidemiol 47:1245~1251
Moppett IK / 2012 / Nottingham Hip Fracture Score : longitudinal and multiassessment / Br J Anaesth 109:546~550
Nijmeijer WS / 2016 / Prediction of early mortality fol-lowing hip fracture surgery in frail elderly : the Almelo Hip Fracture Score(AHFS) / Injury 47:2138~2143
이동규 / 2019 / 노인 고관절 골절 환자의 수술을 위한 마취 관리 / Anesthesia and Pain Medicine 14(1):8~18
Charlson M / 1994 / Validation of a combined comorbidity index / J Clin Epidemiol 47:1245~1251
Moppett IK / 2012 / Nottingham Hip Fracture Score : longitudinal and multiassessment / Br J Anaesth 109:546~550
Nijmeijer WS / 2016 / Prediction of early mortality fol-lowing hip fracture surgery in frail elderly : the Almelo Hip Fracture Score(AHFS) / Injury 47:2138~2143
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Risk factors associated with outcomes of hip fracture surgery in elderly patients
Korean Journal of Anesthesiology
2015 .01
-
Perioperative adverse cardiac events and mortality after non-cardiac surgery: a multicenter study
Korean Journal of Anesthesiology
2024 .02
-
The First Year After Colorectal Surgery in the Elderly
Annals of Coloproctology
2017 .01
-
Predictors of Mortality in Patients with COVID-19: A Systematic Review and Meta-analysis
한국임상약학회지
2020 .01
-
Is Spinal Surgery Safe for Elderly Patients Aged 80 and Above? Predictors of Mortality and Morbidity in an Asian Population
Neurospine
2019 .01
-
Alcohol use disorder in the intensive care unit; a highly morbid condition; chemical dependency discussions during admission improves outcomes
Acute and Critical Care
2023 .02
-
Demographic Changes in Intensive Care Units in Korea over the Last Decade and Outcomes of Elderly Patients: A Single-Center Retrospective Study
Acute and Critical Care
2017 .01
-
Mortality-Related Risk Factors in Geriatric Patients with Hip Fracture
Annals of geriatric medicine and research
2023 .06
-
Effect of Dementia on Postoperative Mortality in Elderly Patients with Hip Fracture
Journal of Korean Medical Science
2021 .10
-
Improved Survival of Cancer Patients Admitted to the Intensive Care Unit between 2002 and 2011 at a U.S. Teaching Hospital
Cancer Research and Treatment
2019 .01
-
Mortality and Comorbidity Profiles of Patients with Bullous Pemphigoid in Korea
Annals of Dermatology
2018 .01
-
Characteristics and Outcomes of Potentially Inappropriate Admissions to the Intensive Care Unit
Acute and Critical Care
2019 .01
-
Clinical Outcome and Prognosis of Patients Admitted to the Surgical ICU after Abdomen Surgery
Acute and Critical Care
2015 .01
-
Survivorship Analysis in Asymptomatic COVID-19+ Hip Fracture Patients: Is There an Increase in Mortality?
Hip and Pelvis
2022 .03
-
Comparison of Comorbidities in Relation to Critical Conditions among Coronavirus Disease 2019 Patients: A Network Meta-Analysis
Infection and Chemotherapy
2021 .01
-
Outcomes of critically ill patients according to the perception of intensivists on the appropriateness of intensive care unit admission
Acute and Critical Care
2021 .11
-
Mortality of Deep Brain Stimulation and Risk Factors in Patients With Parkinson's Disease: A National Cohort Study in Korea
Journal of Korean Medical Science
2023 .01
-
Urate-lowering therapy is associated with a reduced risk of arrhythmias: a systematic review and meta-analysis
대한류마티스학회지
2024 .04
-
High Morbidity in MI and High Cardiac Problems in CHF after Gastric Cancer Surgery
대한임상종양학회 학술대회지
2015 .02
-
Trends in the Use of Intensive Care by Very Elderly Patients and Their Clinical Course in a Single Tertiary Hospital in Korea
Acute and Critical Care
2016 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0