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  • Starost kot dejavnik tveganja umrljivosti starostnikov z zlomom stegneničnega vratu = Age as a risk factor of mortality in elderly with a fracture of the femoral neck
    Andoljšek, Matej
    Background. Age (life expectancy) determinates the method of treatment in patients with a fracture of the femoral neck. In retrospective study the autorasked: what is the mortality ofpatients ... afterprimary operation for a fracture of thefemoral neck, are there differences in mortality among age groups and wheather age could be used to select the method of treatment in patients with a fracture of the femoral neck. Methods and results. From 1984 to 1991 273 patients were operated for a fracture of the femoral neck. Two hundred and five were older than 64 years ("elderly"), and these were includedin the study. Among them 24 were 65-69 years old, 85 were in seventies, 88 in eighties and eight in nineties. Fifty of 205 elderly patientsdied in six months ("early mortality" 2.4%), 64 died in first year (31.2%) and 129 died in five years after injury ("late mortality" - 62.9%). Meanwhile, general one year mortality of elderly was 6.6% for men and 5% for women. Early mortality for 65-69 age group was 16.6% for 70-79 age group 22.3%, for 80-89 age group 26.1% and for > 90 age group 50%. Late mortality was 37.5% 54.1% 75% and 100% by age groups respectively. Stratified statistical analysis showed, that age injluenced late mortality only, whereas all other risk factors (male gender, failed rehabilitation, nursery home status, associated cardiovascular disease, heart failure) injluenced early as well as late mortality. To evaluate age independently of other risk factors, logistic regression analysis was done. Logistic regression analysis showed, that differences in early mortality among 65-69, 70-79 and 80-89 age groups were not significant and that difference in late mortality between 70-79 and 80-89 age group become significant not later than after five years, whereas atfollow-up life expectancy for 70-79 age group was ten years for men and twelve for women, and for 80-89 age group five and six years respectively. (Abstract truncated at 2000 characters).
    Vir: III. kongres Združenja kirurgov Slovenije, Portorož, 22.-25. maj 2002 (str. I-107-I-109)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 16594649

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    Digitalna knjižnica Slovenije - dLib.si

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