Risk Actors Associated With The Prognosis Following Hip Fracture In Elderly Patients After 1 Year

Objective: To analyze the risk factors influencing the prognosis following hip fracture in elderly patients after 1yearMethods: The study included 300 old patients(?65years)who with hip fracture treated in The Third Hospital Of Hebei Medical university from January 2015 to January 2015,they were fellow-up.The clinical data were collected to analyze define risk factors associated with one-year mortality,one-year recovery of hip joint function and one-year recovery of self-care ability.The factors analyze include gender,age,type of fracture,number of complications before injury,therapiesm and on admissiom: leucocyte,erythrocyte,hemoglobin,albumin,BNP,alkaline phosphatase,C-reactive protein,sodium,kalium,fasting blood glucose,calcium,phosphorus,PT,APTT,D-dimer.All the factors divided into two groups,All the factors were dealt with x2 test and multivariate Logistic regression analysis.Results: The factors which significantly affect the one-year mortality(With P < 0.05)include the age,therapies,number of complications before injury,leucocyte,hemoglobin,BNP,albumin,APTT.The factors which significantly affect the one-year recovery of hip joint function(With P<0.05)include the age,therapies,number of complications before injury,leucocyte,erythrocyte,albumin,fasting blood glucose,APTT.The factors which significantly affect the one-year recovery of self-care ability(With P<0.05)include the therapies,number of complications before injury,erythrocyte,hemoglobin,albumin,alkaline phosphatase,C-reactive protein.The multivariate Logistic regression analysis revealed that The independent risk factors affecting the one-year mortality were the age,BNP,number of complications before injury.The independent risk factors affecting one-year recovery of hip joint function and one-year recovery of self-care ability were the therapies,albumin,number of complications before injury.Conclusion: Multiple factors affect the outcomes of hip fracture in the aged patients,The risk factors include the age,therapies,number of complications before injury,leucocyte,hemoglobin,BNP,albumin,PT,APTT,erythrocyte,fasting blood glucose,alkaline phosphatase,C-reactive protein.we should emphasize the importance of those risk factors,As a result,improvement of cardiac function and treatment of the other medical conditions can reduce the one-year mortality,as far as possible to create the conditions of the surgery and improve nutrition level,treatment of the medical conditions can improve one-year recovery of hip joint function and one-year recovery of self-care ability.