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The Relationship between the Lee Score and Postoperative Mortality in Patients with Proximal Femur Fractures

机译:李氏评分与股骨近端骨折患者术后死亡率的关系

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摘要

>Objective  To verify the predictive value of the Lee score for mortality in a one-year period after proximal femur fracture surgery. The present study also evaluated the isolated predictive capacity of other variables. >Methods  A sample of 422 patients with surgically-treated proximal femur fractures was evaluated. Data was collected through a review of medical records, appointments, and contact by telephone. >Results  The Lee score was applied to 99.3% of the patients with proximal femur fractures submitted to surgical treatment. The mortality rate was of 22% of the sample, and the majority were classified as class I risk. The Lee score had no significant association with mortality ( p  = 0.515). High levels of serum creatinine ( p  = 0.001) and age ( p  = 0.000) were directly associated with death. >Conclusion The Lee score was not predictive of mortality in a one-year period after proximal femur fracture surgery; however, a statistical significance was observed between age and serum creatinine levels, considered separately, and death.
机译:>目的要验证Lee评分对股骨近端骨折手术后一年内死亡率的预测价值。本研究还评估了其他变量的孤立预测能力。 >方法 was评估了422例经手术治疗的股骨近端骨折患者的样本。通过对医疗记录,约会和电话联系的审查来收集数据。 >结果 Lee评分适用于99.3%接受手术治疗的股骨近端骨折患者。死亡率为样本的22%,大多数被归为I级风险。 Lee评分与死亡率无显着相关性(p = 0.515)。高水平的血清肌酐(p = 0.001)和年龄(p = 0.000)与死亡直接相关。 >结论Lee评分不能预测股骨近端骨折手术后一年的死亡率。然而,在年龄和血清肌酐水平(分别考虑)与死亡之间观察到统计学意义。

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