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The influence of perioperative care and treatment on the 4-month outcome in elderly patients with hip fracture.

Björkman Björkelund, Karin LU ; Hommel, Ami LU ; Thorngren, Karl-Göran LU ; Lundberg, Dag LU and Larsson, Sylvia (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)
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author
organization
publishing date
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
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
2011-05-02 11:37:02
date last changed
2016-10-13 04:28:24
@misc{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    = {ARRAY(0x8534a58)},
  series       = {AANA Journal},
  title        = {The influence of perioperative care and treatment on the 4-month outcome in elderly patients with hip fracture.},
  volume       = {79},
  year         = {2011},
}