Analysis Of Risk Factors Of Mortality Following Intertrochanteric Hip Fractures In Elderly Patients

Objective:To explore and identify the risk factors of death in elderly patients with intertrochanteric hip fracture, and to provide the reference and suggestion for prolonging the life of the and reducing death of the patients after injury in clinic.Methods:The total of 404(age≥70 years) clinical data of elderly patients with intertrochanteric hip fracture in the second affiliated hospital of shanxi medical university from 2013 to2014 were analyzed,373 of them were followed up and included in the study, follow-up of patients 3 months, 12 months mortality. The clinical data of patients such as age, sex, type of fracture, accompanied by the kind and quantity of medical illness, time from injury to hospital admission, time from to hospital admission to surgery and treatment methods were collected and analyzed with mortality risk factors.Results:the results were associated with mortality in patients with risk factors and obtained by Univariate analysis,which included age, gender, the number of diseases, heart disease,respiratory disease, lung inflammation,time from fracture to admission,type of fracture.Then the above factors by Binary Logistic regression analysis showed that the age(OR =2.242, P = 0.014), whether or not surgery(OR = 0.002, P = 0.000), with the number of internal diseases(OR = 2.642, P = 0.037), associated with heart disease(OR = 2.802, P =0.016),and time from injury to hospital admission(OR = 2.546, P = 0.028) are independent risk factor for death among the elderly patients with intertrochanteric hip fracture within 12 months.Conclusion:Death of elderly patients with intertrochanteric hip fracture is not only caused by a single risk factor, but also by the interaction of a variety of risk factors, which have different degree on the death. So we need to deeply understand on the basis of the basic data of elderly patients with intertrochanteric hip fracture, and identify the risk factors of the specific reversible state.Although we cannot change the age, gender and fracture type,but we can inform patients the importance of admission after injury as soon as possible,make a full assessment and treatment on the basis of the general condition of the patient,choose a suitable internal fixation materials, active surgical treatment as soon as possible basing on respecting the will of the patient and family.unnecessary delay of surgery should be avoided.refine and improve disease management guidelines or palliative treatment decisions, develop more suitable for every elderly patients with individualized treatment plan. In addition,we must also attaches great importance to the prevention of fracture,strengthen propaganda of osteoporosis prevention and treatment, appropriate exercise correctly, reduce the risk of falling. pre-injury prevention, fractures to reduce or eliminate risk factors associated with death, be possible to reduce mortality.