Wangjing Hospital Of China Academy Of Chinese Orthopedic Senior Citizens Over The Age Of 80 Surgical Patients Case Retrospective Study

Objective:It's very important for older patients to actively preventive the complications. The same truth happens in orthopaedics, because the body condition of elder is not as well as that of young people.It demands that orthopaedic surgeons realize what are operative risk factors, and aim to control those reversible factors in order to reduce adverse postoperative outcomes. In our study, lots of medical records of older orthopedic patients in hospital were reviewed. With objective data and statistical analyses, those risk factors that are associated with adverse postoperative outcomes in old orthopaedic patients were verified. That may be reference for practical clinics.Method:In Wangjing Hospital, medical records of 80 years or older orthopaedic patients in-hospital from January 2005 to December 2007 were reviewed. Take the potential preoperative risk factors associated with adverse postoperative outcomes as variates,postoperative adverse outcomes asdependent variates. At first, inseparate analysis, enumeration data was measured by chi-square test.Measurement data of normal distribution was measured by independent-samples T test, other measurement data was measured by nonparametric test. And then put all positive variates into multivariate Logistic regression to find out which are risk factors associated with adverse postoperative outcomes. Took p-value less than 0.05 as the positive criteria.Results:One hundred and thirty-nine medical records of older orthopaedic in hospital patients were reviewed. The postoperative mortality rate was 3.6%.47.5% of these patients developed one or more complications, mainly in pulmonary system(20.9%) and cardiovascular systems (9.4%)Conclusion: Among operative risk factors, preoperative general status and functional status much influence thepostoperative outcomes. The medium doctor combines should be the effective means.