The influence of perioperative care and treatment on the 4-month outcome in elderly patients with hip fracture.
(2011) In AANA Journal 79(1). p.51-61- Abstract
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1937356
- author
- Björkman Björkelund, Karin LU ; Hommel, Ami LU ; Thorngren, Karl-Göran LU ; Lundberg, Dag LU and Larsson, Sylvia
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- AANA Journal
- volume
- 79
- issue
- 1
- pages
- 51 - 61
- publisher
- AANA Publishing Inc.
- external identifiers
-
- pmid:21473227
- scopus:79551584068
- ISSN
- 0094-6354
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Anaesthesiology and Intensive Care (013230022), Department of Orthopaedics (Lund) (013028000), Division of Nursing (Closed 2012) (013065000)
- id
- 5cf9449c-1564-43e1-82bf-b6ec88abb555 (old id 1937356)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/21473227?dopt=Abstract
- date added to LUP
- 2016-04-04 09:19:27
- date last changed
- 2022-03-23 05:04:25
@article{5cf9449c-1564-43e1-82bf-b6ec88abb555,
abstract = {{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.}},
author = {{Björkman Björkelund, Karin and Hommel, Ami and Thorngren, Karl-Göran and Lundberg, Dag and Larsson, Sylvia}},
issn = {{0094-6354}},
language = {{eng}},
number = {{1}},
pages = {{51--61}},
publisher = {{AANA Publishing Inc.}},
series = {{AANA Journal}},
title = {{The influence of perioperative care and treatment on the 4-month outcome in elderly patients with hip fracture.}},
url = {{http://www.ncbi.nlm.nih.gov/pubmed/21473227?dopt=Abstract}},
volume = {{79}},
year = {{2011}},
}