Outcomes for centenarian patients admitted with orthopaedic trauma.

IF 2.3 4区医学 Q2 SURGERY Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland Pub Date : 2024-10-04 DOI:10.1016/j.surge.2024.09.010

Andrew P Dekker, Prateek A Saxena, Emma Westwood, Niharika Kalla, Nathan Sims, Paul Wilson, Neil Ashwood

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Abstract

Introduction: The United Kingdom (UK) and world's population is aging with patients living longer, often with many co-morbidities. It is expected that patients of extreme old age would have poor outcomes following trauma; however, this assumption is not clearly evidenced. This study aims to present the outcomes of patients aged 100 or older admitted to a single hospital trust following admission for orthopaedic trauma.

Method: A prospective cohort of patients aged 100 years and over admitted to the trauma and orthopaedic departments of two hospitals within the same trust between 2008 and 2022 was reviewed. Age was median 101 years (100-106 years). Outcome measures were length of stay, survival, complications and change in accommodation.

Results: 80 patients met the inclusion criteria (71female, 9 male). Mean age at discharge was 102.5 years with survival mean 4.2 years. 2 patients with peri-prosthetic fracture survived a further 5 years. Mean length of stay was 17 days. 57 patients returned to their original place of residence. 72 patients (90 %) survived the acute hospital admission.

Conclusion: Survival rates for patients aged over 100 years were high and most returned to the previous place of residence. This study supports the surgical management of trauma and helps inform patients and families expectations for mortality risk.

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因骨科创伤入院的百岁老人的治疗效果。

导言：英国和全世界的人口都在老龄化，病人的寿命越来越长，而且往往合并多种疾病。人们预计，高龄患者在创伤后的治疗效果会很差；但这一假设并没有明确的证据。本研究旨在介绍一家医院托管机构收治的 100 岁或 100 岁以上骨科创伤患者的治疗效果：方法：研究人员回顾了 2008 年至 2022 年期间在同一托管医院的两家医院的创伤和矫形部门住院的 100 岁及以上患者的前瞻性队列。年龄中位数为 101 岁（100-106 岁）。结果包括住院时间、存活率、并发症和住宿条件变化：80名患者符合纳入标准（71名女性，9名男性）。出院时平均年龄为 102.5 岁，平均存活时间为 4.2 年。2名假体周围骨折的患者又存活了5年。平均住院时间为 17 天。57 名患者返回了原居住地。72名患者（90%）在急性住院期间存活下来：结论：100 岁以上患者的存活率很高，大多数患者都回到了原来的居住地。这项研究为创伤的外科治疗提供了支持，并有助于告知患者和家属对死亡风险的预期。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 医学-外科

CiteScore

4.40

自引率

0.00%

发文量

158

审稿时长

6-12 weeks

期刊介绍： Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field. Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.