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J Korean Soc Emerg Med > Volume 33(2); 2022 > Article
Journal of The Korean Society of Emergency Medicine 2022;33(2): 184-192.
노인 고관절 손상 환자의 사망과 합병증에 영향을 미치는 요인
이현섭1, 김동원1 , 안무업1 , 서정열1 , 이태헌1 , 김상미2
1한림대학교 춘천성심병원 응급의학과
2전주대학교 보건관리과
Factors affecting mortality and complications of elderly patients with hip fracture
Hyun Sub Lee1, Dong Won Kim1 , Moo Eob Ahn1 , Jeong Yeol Seo1 , Tae Hun Lee1 , Sang Mi Kim2
1Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea
2Department of Health Management, Jeonju University, Jeonju, Korea
Correspondence  Dong Won Kim ,Tel: 033-240-5220, Fax: 033-240-5446, Email: hungrytuna@gmail.com,
Received: July 13, 2021; Revised: August 24, 2021   Accepted: September 29, 2021.  Published online: April 30, 2022.
ABSTRACT
Objective:
The incidence of hip fractures in South Korea is increasing, and it is also a socioeconomic burden. This study analyzed the factors affecting the mortality and complications of hip fracture patients.
Method:
The Korean National Hospital Discharge In-depth Injury Survey was used to investigate the sex, age, Charlson comorbidity index (CCI), insurance type, pre-operation length of hospital stay, fracture type, operation type, and the number of beds in the hospital from 2009 to 2018.
Results:
A total of 3,898 patients were enrolled. There were statistical differences in sex, age, insurance type, and CCI divided into the survival and the non-survival groups. There were statistical differences in age, CCI, and the number of beds divided into the group without complications and the group with complications. Multivariate logistic regression analysis revealed that men, age > 84 years (odds ratio [OR], 3.064; 95% confidence interval [CI], 2.000-4.692), medical aid (OR, 2.724; 95% CI, 1.672-4.436), and CCI≥3 (OR, 3.968; 95% CI, 2.555-6.162) were risk factors for the mortality and also revealed that age > 84 years (OR, 3.195; 95% CI, 2.18-4.683) and CCI≥3 (OR, 5.773; 95% CI, 4.174-7.986) were risk factors for the complications.
Conclusion:
In this study, the factors affecting the mortality were men, old age, medical aid, and underlying diseases, and the factors affecting complications were old age and underlying diseases.
Key words: Mortality; Complications; Hip fractures
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