Abstract：
UNASSIGNED: Hip fractures are frequent injuries in older patients and are associated with high mortality rates. This study assessed the association between serum lactate level and 30-day mortality in older patients with unilateral hip fractures and examined the prognostic value of this association on the clinical outcomes of these patients.
UNASSIGNED: This retrospective, single-center study included patients aged ≥65 years admitted to the emergency department due to low-energy trauma and diagnosed with unilateral hip fracture upon admission. The additional inclusion criteria were patients with independent ambulation or walker or cane assistance before the injury, with available data on serum lactate levels on venous blood gas analysis, and who underwent surgery.
UNASSIGNED: Among the 330 included patients, 30.9% experienced postoperative complications and 10.3% died within 30 days. Using a lactate cut-off value of 2 mmol/L to distinguish between living and deceased patients, the sensitivity and specificity were 41% and 88%, respectively. Multivariate logistic regression analysis revealed that high lactate and low albumin levels and male sex were associated with mortality.
UNASSIGNED: Identifying risk factors for mortality in geriatric patients with hip fractures is important. Male sex, low albumin levels, and particularly increased lactate levels were independent predictors of short-term mortality in these patients.
UNASSIGNED: This retrospective, single-center study included patients aged ≥65 years admitted to the emergency department due to low-energy trauma and diagnosed with unilateral hip fracture upon admission. The additional inclusion criteria were patients with independent ambulation or walker or cane assistance before the injury, with available data on serum lactate levels on venous blood gas analysis, and who underwent surgery.
UNASSIGNED: Among the 330 included patients, 30.9% experienced postoperative complications and 10.3% died within 30 days. Using a lactate cut-off value of 2 mmol/L to distinguish between living and deceased patients, the sensitivity and specificity were 41% and 88%, respectively. Multivariate logistic regression analysis revealed that high lactate and low albumin levels and male sex were associated with mortality.
UNASSIGNED: Identifying risk factors for mortality in geriatric patients with hip fractures is important. Male sex, low albumin levels, and particularly increased lactate levels were independent predictors of short-term mortality in these patients.
摘要：
■髋部骨折是老年患者常见的损伤，并与高死亡率相关。这项研究评估了单侧髋部骨折老年患者血清乳酸水平与30天死亡率之间的关系，并检查了这种关系对这些患者临床结局的预后价值。
■这次回顾展，单中心研究纳入了年龄≥65岁因低能量创伤而入院并在入院时被诊断为单侧髋部骨折的患者.额外的纳入标准是受伤前独立行走或助行器或拐杖辅助的患者，根据静脉血气分析的血清乳酸水平的现有数据，谁接受了手术。
■在纳入的330名患者中，30.9%出现术后并发症，10.3%在30天内死亡。使用2mmol/L的乳酸临界值来区分活着和死亡的患者，敏感性和特异性分别为41%和88%，分别。多因素logistic回归分析显示，高乳酸和低白蛋白水平以及男性与死亡率相关。
■确定老年髋部骨折患者死亡的危险因素很重要。男性,白蛋白水平低,尤其是乳酸水平升高是这些患者短期死亡率的独立预测因素.
■这次回顾展，单中心研究纳入了年龄≥65岁因低能量创伤而入院并在入院时被诊断为单侧髋部骨折的患者.额外的纳入标准是受伤前独立行走或助行器或拐杖辅助的患者，根据静脉血气分析的血清乳酸水平的现有数据，谁接受了手术。
■在纳入的330名患者中，30.9%出现术后并发症，10.3%在30天内死亡。使用2mmol/L的乳酸临界值来区分活着和死亡的患者，敏感性和特异性分别为41%和88%，分别。多因素logistic回归分析显示，高乳酸和低白蛋白水平以及男性与死亡率相关。
■确定老年髋部骨折患者死亡的危险因素很重要。男性,白蛋白水平低,尤其是乳酸水平升高是这些患者短期死亡率的独立预测因素.
