Demographic and Clinical Results of Proximal Femoral Fractures

Year 2017, Volume: 1 Issue: 3, 145 - 148, 15.12.2017

Alkan Albayrak , Sünkar Kaya Bayrak Altuğ Duramaz , Cemal Kızılkaya Ayten Seller Furkan Çağlayan Aslantaş

https://doi.org/10.30565/medalanya.347588

Cited By: 1

Abstract

Aim: In this study, we
aimed to evaluate the preoperative and postoperative clinical findings of the
patients who underwent surgical treatment due to proximal femoral fracture and
demographic characteristics of orthopedically traumatic inpatients in our
clinic.

Patients and Method:
This study includes all the patients who hospitalized in our clinic between the dates of 01 January and
31 December 2014. In our retrospective, cross-sectional and descriptive study;
the records of the patients were checked, and demographic and clinical data
were evaluated.

Results: A total of 3793
patients underwent surgical treatment. Of the patients who underwent surgery, 283
were operated on due to the fracture of the proximal region of the femur. The
patients mean age was 55.77 ± 29.98 years. When we investigated by age group,
94 (33.2%) patients were under 40 years old while 36 (12.7%) patients aged
40-60 years and 153 (54.1%) patients aged 60 years and over. 49.8% (141) of the
patients were male; 50.2% (142) were female. 36,7% (104) of the patients had
various additional diseases. While 91.2% (258) of the patients who were with a
clinic fracture were treated and discharged with healing, 1.8% (5) deaths were
observed. 7.1% (20) of patients were transferred to intensive care. Compared by age, in older age group ASA it is seen that scores, comorbidities, and hospitalization time increase as well as the necessity of intensive care unit.

Conclusion:
As preoperative preparations takes longer
and due to the higher level of the need for intensive care in postoperative period along with frequent comorbidities for aged patients It will be appropriate to follow these aged patients
as multidisciplinary 

Keywords

Proximal femoral fracture, inpatients, intensive care

Proksimal Femur Kırıklarında Demografik Ve Klinik Sonuçlar

Abstract

Amaç:  Bu çalışmada, kliniğimizde ortopedik travma
nedeniyle yatan hastaların demografik özellikleri ve proksimal femoral kırık
nedeniyle cerrahi tedavi uygulanan hastaların ameliyat öncesi (AÖ) ve ameliyat
sonrası (AS) klinik bulgularının değerlendirilmesi amaçlandı.

Hastalar
ve Yöntem:
Çalışmaya 01 Ocak – 31 Aralık 2014 tarihleri arasında kliniğimizde yatan tüm
hastalar dahil edildi. Retrospektif, kesitsel ve tanımlayıcı nitelikteki
çalışmamızda; hastaların kayıtları kontrol edilerek, demografik ve klinik verileri
değerlendirildi.

Bulgular: Toplam 3793 hastaya
cerrahi tedavi uygulanmıştır. Ameliyat olan hastalardan 283’ü femur proksimal
bölge kırığı nedeniyle opere olmuştur. Hastaların ortalama yaşı 55,77±29,98
yıldır. Yaşları gruplayarak incelediğimizde, 40 yaş altında 94 (%33,2) hasta;
40-60 yaş arası 36 (%12,7) hasta ve 60 yaş üzeri 153 (%54,1) hasta vardır.
Hastaların %49,8’i (141) erkek; %50,2’si (142) kadındır. Hastaların %36,7’sinde
(104) çeşitli ek hastalıklar saptanmıştır. Kliniğe kırık ile gelen hastaların %
91,2’si (258) şifa ile taburcu edilirken, %1,8 (5) ölüm gözlenmiştir.
Hastaların %7,1´(20)i yoğun bakıma devredilmiştir. İleri yaş grubunda ASA  skorlarının yükseldiği, ek hastalıkların arttığı,
hastaların postoperatif dönemde hastanede kalış sürelerinin uzadığı ve yoğun
bakım ihtiyaçlarının arttığı görülmektedir.

Sonuç: İleri yaş grubu
hastalarda ek hastalıkların sıklıkla eşlik etmesi, bu hastaların AÖ
hazırlıklarının uzun sürmesi ve AS dönemde yoğun bakım ihtiyaçlarının artması
nedeniyle bu hastaların multidisipliner olarak takip edilmesi uygun olacaktır.

Keywords

Proksimal femur kırığı, yatan hasta, yoğun bakım

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