Risk factors and prognostic implications of aspiration pneumonia in older hip fracture patients: A multicenter retrospective analysis

Geriatrics and Gerontology International - Tập 19 Số 2 - Trang 119-123 - 2019
Seong‐Eun Byun1, Hyun‐Chul Shon2, Ji Wan Kim3, Hyung Kyung Kim4, Young-Suk Sim1
1Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea
2Department of Orthopedic Surgery Asan Medical Center, University of Ulsan Seoul Korea
3Department of Orthopedic Surgery Chungbuk University Hospital, Cungbuk National University Cheongju Korea
4Department of Pathology, Kyung Hee University Hospital at Gangdong, Seoul, Korea

Tóm tắt

AimThe present study aimed to investigate the risk factors and prognostic implications of aspiration pneumonia in older hip fracture patients.MethodsA total of 394 female and 125 male hip fracture patients aged ≥60 years who underwent surgery between 2015 and 2018 were retrospectively analyzed. To identify risk factors of aspiration pneumonia, demographic factors, the American Society of Anesthesiologists classification, past medical history, known risk factors of aspiration and factors associated with surgery were compared between the aspiration pneumonia group and the control group. Regression analysis was also carried out. To assess the prognostic implications of aspiration pneumonia, hospital stay, frequency of the intensive care unit admission and in‐hospital mortality rates were compared between groups.ResultsAspiration pneumonia was diagnosed in 8.8% of the hip fracture patients. Increased age, low body mass index, malnutrition, longer duration of surgery and delayed surgery were identified as risk factors of aspiration pneumonia. Regarding prognostic implications, hospital stay, the frequency of intensive care unit care and in‐hospital mortality rates were significantly higher in the aspiration pneumonia group (P < 0.001, <0.001 and 0.001, respectively).ConclusionsOlder hip fracture patients with aspiration pneumonia showed worse prognostic outcome compared with patients without aspiration pneumonia. Longer duration of surgery and delayed surgery, as well as patient characteristics including increased age, low body mass index and malnutrition were identified as risk factors for aspiration pneumonia. Therefore, surgeons should try to reduce the operation time and the time interval between injury and surgery when treating older patients for hip fractures. Geriatr Gerontol Int 2019; 19: 119–123.

Từ khóa


Tài liệu tham khảo

10.1186/s12877-016-0332-0

10.1016/S8756-3282(03)00061-9

10.1007/s00198-016-3576-9

10.1007/BF02982665

Liu LK, 2015, Association between frailty, osteoporosis, falls and hip fractures among community‐dwelling people aged 50 years and older in Taiwan: results from I‐Lan Longitudinal Aging study, PLoS One, 10

10.1186/1471-2458-8-222

Statistics Korea. Annual report on the causes of death statistics;2017[Cited 12 Aug 2018]. Available from URL:http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board.

10.1302/0301-620X.94B5.28933

10.1136/bmj.38643.663843.55

10.1007/s00402-014-1959-y

10.1093/gerona/glp019

10.1007/s00198-016-3624-5

10.1097/MCP.0b013e32834397d6

10.1007/PL00009571

10.21037/jtd.2016.02.60

10.1111/j.1365-2982.2010.01521.x

10.1111/j.1532-5415.2008.01597.x

10.1016/j.resinv.2015.01.003

10.1038/srep38097

10.2147/CIA.S80100

10.1378/chest.124.1.328

10.3928/01477447-20151222-07

10.1007/PL00009565

10.1177/0884533699014005S09

10.1016/j.jamcollsurg.2006.07.032

10.1007/s00402-015-2321-8

10.1371/journal.pone.0140060

10.1016/j.ejim.2012.08.006

10.1097/BOT.0b013e3182a22744

10.1503/cmaj.092220

Thông tin
Thông tin xuất bản

Geriatrics and Gerontology International

Tập 19 Số 2

119-123

Thông tin tác giả