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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 1 - 9 (9page)
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Background: The purpose of this study was to analyze the all-cause mortality rate over time after elderly hip fracture in end-stage renal disease (ESRD) patients with dialysis, using a Korean nationwide claims database. Methods: This retrospective nationwide study identified subjects from the Korean National Health Insurance Service-Senior cohort (NHIS-Senior). The NHIS-Senior (total of 588,147 participants) was constructed by 10% random sampling and was designed to represent the elderly living in Korea. Subjects were patients aged 65–99 years who underwent surgical treatment for femoral neck fractures or intertrochanteric fractures. A generalized estimating equation model with Poisson distribution and logarithmic link function was used to estimate adjusted risk ratios (aRRs) and 95% confidence intervals (CIs) to measure associations between renal dialysis and cumulative mortality in various time frames. Results: The total number of patients included in this study was 16,818. These patients were divided into two groups: 116 (0.69%) in the dialysis group and 16,702 (99.31%) in the no-dialysis group. The mean length of hospital stay was 43.87 ± 48.45 days in the dialysis group and 36.29 ± 37.49 days in the no-dialysis group (P = 0.095). The effect of renal dialysis on all-cause mortality was 2.29-fold (aRR; 95% CI, 1.29–4.06; P = 0.005) within 30 days and 1.72-fold (aRR; 95% CI, 1.34–2.21; P < 0.001) within 1-year after hip fracture compared to the no-dialysis group. And, the effect of renal dialysis of in-hospital mortality was 2.72-fold (aRR; 95% CI, 1.71–4.33; P < 0.001) compared to the no-dialysis group. Conclusion: Elderly patients who underwent dialysis have very high mortality rates after hip fracture. Therefore, it is considered that postoperative care through multidisciplinary management and understanding of pathophysiology for the ESRD patients is necessary.
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참고문헌 (31)
참고문헌 신청
Cha YH / 2017 / Effect of causes of surgical delay on early and late mortality in patients with proximal hip fracture / Arch Orthop Trauma Surg 137(5):625~630
Wu J / 2019 / Healthcare resource utilization and direct medical costs for patients with osteoporotic fractures in China / Value Health Reg Issues 18:106~111
Peeters CM / 2016 / Quality of life after hip fracture in the elderly : a systematic literature review / Injury 47(7):1369~1382
Hung LW / 2017 / The influence of renal dialysis and hip fracture sites on the 10-year mortality of elderly hip fracture patients: a nationwide population-based observational study / Medicine (Baltimore) 96(37):e7618
Jager KJ / 2003 / The epidemic of aging in renal replacement therapy : an update on elderly patients and their outcomes / Clin Nephrol 60(5):352~360
Wu J / 2019 / Healthcare resource utilization and direct medical costs for patients with osteoporotic fractures in China / Value Health Reg Issues 18:106~111
Peeters CM / 2016 / Quality of life after hip fracture in the elderly : a systematic literature review / Injury 47(7):1369~1382
Hung LW / 2017 / The influence of renal dialysis and hip fracture sites on the 10-year mortality of elderly hip fracture patients: a nationwide population-based observational study / Medicine (Baltimore) 96(37):e7618
Jager KJ / 2003 / The epidemic of aging in renal replacement therapy : an update on elderly patients and their outcomes / Clin Nephrol 60(5):352~360
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