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首页> 外文期刊>Orthopedics >Predictors of Inpatient Mortality and Systemic Complications in Acetabular Fractures Requiring Operative Treatment
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Predictors of Inpatient Mortality and Systemic Complications in Acetabular Fractures Requiring Operative Treatment

机译：在需要手术治疗的髋臼骨折中的住院性死亡率和系统并发症的预测因子

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摘要

Patient demographics, physiologic variables, and injury characteristics predictive of mortality and major systemic complications following operative fixation of acetabulum fractures were identified using the National Sample Program of the National Trauma Data Bank. Age older than 60 years, obesity, and Injury Severity Score greater than 15 portended a statistically significant increase in mortality and major systemic complications (P <=.05). Systolic blood pressure less than 90 mm Hg and Glasgow Coma Scale score less than 8 were also significant predictors of mortality and major systemic complications (P<.0001). Time to surgery and hospital length of stay did not affect mortality. The most common potentially modifiable risk factors were smoking (22.3%) and obesity (body mass index >= 30 kg/m(2)) (9.1%). Increasing age, Injury Severity Score, and obesity independently predicted a statistically significant increase in both mortality and major systemic complications. A better understanding of the associated risk factors and unique complication profile will provide orthopedic surgeons with a basis on which to effectively counsel and care for patients.
机译：利用国家创伤数据库国家样本计划确定了患者人口统计学，生理变量和伤害特征预测死亡率和髋臼骨折的主要系统并发症。年龄超过60年的年龄，肥胖和伤害严重程度得分大于15分为统计学上显着的死亡率和主要的全身并发症（P <= 05）。收缩压小于90毫米HG和格拉斯哥彗态比得分小于8，也是死亡率的显着预测因子和主要的全身性并发症（P <.0001）。手术和医院的逗留时间没有影响死亡率。最常见的潜在可改性风险因素吸烟（22.3％）和肥胖（体重指数> = 30kg / m（2））（9.1％）。增加年龄，伤害严重程度，肥胖独立地预测了死亡率和主要全身并发症的统计学显着增加。更好地了解相关的危险因素和独特的复杂性概况将提供矫形外科医生，基础上有效地为患者提供咨询和护理。

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