METHODS: A retrospective 10-year cohort study was conducted using data submitted to the National Hip Fracture Database (NHFD) across three hospitals in one large NHS Trust. Data was collected from 126 nonagenarians who underwent THRs between 1st January 2010 - 31st December 2020 and was categorised into emergency THR and elective THR groups. Mortality rates were compared between the two groups. Secondary outcomes were also compared including postoperative complications (dislocations, revision surgeries, and periprosthetic fracture), length of stay in hospital, and discharge destination.
RESULTS: There was no significant difference in mortality between the two groups, with 1-year mortality rates of 11.4% and 12.1% reported for emergency and elective patients respectively (p = 0.848). There were no significant differences in postoperative complication rate and discharge destination. Patients who had emergency THR spent 5.56 days longer in hospital compared to elective patients (p = 0.015).
CONCLUSIONS: There is no increased risk of 1-year mortality in emergency THR compared to elective THR, in a nonagenarian population. Therefore, nonagenarians presenting with a hip fracture who would have been considered for a THR if presenting on an elective basis should not be precluded from an emergency THR on safety grounds.
BACKGROUND: Not necessary as this was deemed not to be clinical research, and was considered to be a service evaluation.
方法:一项为期10年的回顾性队列研究,使用提交给国家髋部骨折数据库(NHFD)的数据,在一家大型NHS信托基金的三家医院进行。数据来自2010年1月1日至2020年12月31日期间接受THR的126名非年龄患者,并分为紧急THR和选择性THR组。比较两组的死亡率。还比较了次要结果,包括术后并发症(脱位,修正手术,和假体周围骨折),住院时间,和排放目的地。
结果:两组之间的死亡率没有显着差异,急诊和择期患者的1年死亡率分别为11.4%和12.1%(p=0.848).术后并发症发生率及出院目的地差异无统计学意义。与择期患者相比,急诊THR患者住院时间长5.56天(p=0.015)。
结论:与选择性THR相比,急诊THR的1年死亡率没有增加,在非成年人口中。因此,不应出于安全原因排除因髋部骨折而被考虑进行THR的非年龄患者。
背景:没有必要,因为这被认为不是临床研究,并被认为是服务评估。