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Value of routine blood tests for prediction of mortality risk in hip fracture patients

机译:常规血液检查对预测髋部骨折患者死亡风险的价值

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Background There is a 5- to 8-fold increased risk of mortality during the first 3 months after a hip fracture. Several risk factors are known. We studied the predictive value (for mortality) of routine blood tests taken on admission. Methods 792 hip fracture patients were included prospectively; blood tests were taken on admission. Follow-up data on mortality were obtained from the civil registration system. Patients were divided into 2 groups based on whether they had survived at least 90 days after the hip fracture. To estimate which laboratory tests could be used to predict outcome, we used receiver operation characteristic (ROC) curves. Results 3-month mortality could be predicted with 69% accuracy from the level of plasma creatinine in standard admission blood tests. The mortality in patients with elevated levels of creatinine was almost 3-fold that of the patients with normal creatinine. Mortality was also associated with age, low blood hemoglobin, high plasma potassium, and low plasma albumin level...
机译:背景技术髋部骨折后的前3个月,死亡风险增加了5到8倍。几种危险因素是已知的。我们研究了入院时进行常规血液检查的预测价值(对于死亡率)。方法前瞻性纳入792例髋部骨折患者。入院时进行血液检查。死亡率的后续数据是从民事登记系统获得的。根据患者在髋部骨折后是否至少存活90天,将其分为两组。为了估计哪些实验室测试可用于预测结果,我们使用了接收器操作特征(ROC)曲线。结果根据标准入院血液测试中的血浆肌酐水平,可以预测3个月的死亡率,准确度为69%。肌酐水平升高的患者的死亡率几乎是肌酐正常患者的3倍。死亡率还与年龄,低血红蛋白,高血浆钾和低血浆白蛋白水平有关...

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