Risk factors for prolonged preoperative waiting time of intertrochanteric fracture patients undergoing operative treatment

作者：Fei Liu, Wenjie Chang, Xu Wang, Rui Gong, Dao-tong Yuan, Yongkui Zhang, Wen‐Peng Xie · 发表于：BMC Musculoskeletal Disorders · 年份：2022 · DOI：10.1186/s12891-022-05865-x · 被引用次数：11 · 研究领域：Hip and Femur Fractures、Cardiac, Anesthesia and Surgical Outcomes、Pharmacological Effects and Toxicity Studies

PURPOSE: Intertrochanteric fracture is a common fracture in older adults. We observed the case characteristics of intertrochanteric fracture and analyzed the risk factors for prolonged preoperative waiting time based on patient data from a 6 year period. Investigate the post-admission treatment of intertrochanteric fracture. METHODS: We retrospectively reviewed the medical records from July 2015 to July 2021 of patients hospitalized for intertrochanteric fracture who had undergone internal fixation surgery in the orthopedic ward of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine. Data regarding gender, age, AO/OTA classification, preoperative waiting time, preoperative medical comorbidities, and complicated deep venous thrombosis (DVT) of lower limbs were collected. Statistical tests were used to evaluate the factors influencing preoperative preparation time and DVT. RESULTS: A total of 1812 cases were retrospectively analyzed, 1258 patients (69.43%) had three or more medical comorbidities. The average preoperative waiting time was 5.09 ± 3.27 days. Advanced age, more preoperative medical comorbidities and DVT led to longer preoperative waiting times, and preoperative medical comorbidities were an independent risk factor. Patients with advanced age and preoperative medical comorbidities were more likely to have DVT. CONCLUSION: Age and preoperative medical comorbidities are risk factors for DVT and prolonged preoperative preparation time in inte...