目的 探讨改良POSSUM评分系统对老年髋部骨折手术并发症及死亡率预测值的准确性.方法对102例60岁以上髋部骨折住院患者分别使用改良POSSUM评分系统和POSSUM评分系统进行评估,计算并发症发生率及死亡率.结果 根据改良POSSUM评分系统预测:22例出现并发症,实际25例出现并发症,预测死亡6例,实际死亡4例,预测值与实际值差异无统计学意义.根据POSSUM量表预测31例出现并发症,预测值与实际值差异无统计学意义;预测死亡例15例,预测值高于实际值.结论 改良POSSUM评分系统对60岁以上老年人髋部骨折手术有较好的预测能力,POSSUM评分过高估计手术死亡率.%Objective To explore the accuracy of P-POSSUM on mortality projection and operative complica-tions of geriatric hip fracture surgery.Methods 102 over 60-year-old inpatients with hip fracture were evaluated by P-POSSUM and POSSUM scoring to calculate rate of complications and mortality.and the actual incidence of complica-tion and mortality were observation.Results There were 22 cases of complications and 6 cases of death according to P-POSSUM,and there were 25 cases of complications and 4 case of death actually.There is no significant difference be-tween the predicted value and the actual value.There were 31 cases of complications according to POSSUM,and there was no significant difference between the predicted value and the actual value.There will be 15 cases of death according to POSSUM,but there was 4 case of death actually.The predicated value was higher than the actual value.Conclusion P-POSSUM have a better predictive ability for hip fracture surgery in the elderly aged over 60 years,and the POSSUM o-verestimates the mortality rate.
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