Kalça ve Femur Kırıklarında Kırık Tipi ile Mortalite İlişkisi

Yıl 2020, Cilt: 3 Sayı: 3, 71 - 75, 30.09.2020

Çağrı Kokkoz , Arife Erdoğan , Funda Karbek

Öz

Amaç: Bu çalışmaya acil servise kalça ve femur kırığı şikayeti olan hastalar dahil edildi. Hangi kırık tipinin mortalite için en yüksek riski taşıdığını araştırarak, cerrahların hastaları önceliklendirmelerine yardımcı olmaları için bir temel oluşturmayı amaçladık.

Gereç ve Yöntemler: Bu tek merkezli retrospektif bir çalışmaydı. Acil servise travmatik, izole kalça veya femur kırığı şikayeti ile başvuran 336 hasta dahil edildi. Tüm hastalar aynı cerrahi ekip tarafından 4 gün içinde ameliyat edildi. Kırıklar kırık tiplerine göre kategorize edildi. Hastalar mortalite açısından 28 gün boyunca takip edildi.
Bulgular: Çalışmaya toplam 336 hasta alındı ve 28 gün takipte 51 hasta öldü. Hastalar yaşlarına göre 18-44, 45-64 ve > 64 olarak 3 gruba ayrıldı. Kırık tipleri ile yaş grupları arasında mortalite açısından anlamlı fark yoktu. Çalışmaya alınan hastalar tek bir grup olarak değerlendirildiğinde, intertrokanterik kırık tipleri mortalite ile anlamlı olarak ilişkiliydi. (p <0.010).

Sonuç: Bu çalışmada tüm hastalardan intertrokanterik kırığı olanların mortalite oranları daha yüksek bulundu.

Anahtar Kelimeler

kırık, mortalite, kalça, femur, acil

Association Between Type of Fracture and Mortality Rate in Hip and Femur Fractures

Öz

Aim: This study included patients who presented to the emergency department with hip and femur fractures. By investigating which fracture type carried the highest risk for mortality, we aimed to provide a basis for surgeons to help them prioritize patients.

Material and Methods: This was a single-center retrospective study. A total of 336 patients who presented to the emergency department with traumatic, isolated hip or femur fractures were included. The same surgical team operated all patients within four days. The fractures were categorized according to the fracture types. Patients were followed up about mortality during 28 days.

Results: A total of 336 patients were included in the study, and 51 patients died in 28 days follow-up. Patients were divided into three groups according to their ages as 18-44, 45-64, and > 64. There was no significant difference between the fracture types and mortality according to age groups. When the patients included in the study were evaluated as a single group, intertrochanteric fracture types were significantly related to mortality (p<0.010).

Discussion: In this study, mortality rates were found to be higher in patients with intertrochanteric fractures among all patients.

Anahtar Kelimeler

fracture, mortality, hip, femur, emergency

Kaynakça

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