Effect of Wearing Medical Masks on Perioperative Respiratory Complications in Older Adults with Hip Fracture: A Retrospective Cohort Study

Fu, Mingming; Guo, Junfei; Zhang, Yaqian; Zhao, Yuqi; Zhang, Yingze; Wang, Zhiqian; Hou, Zhiyong

doi:10.2147/cia.s333238

Cited by 2 publications

(2 citation statements)

References 44 publications

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“…[24] Therefore, strategies to prevent and slow the progression of frailty are paramount. [25] Previous studies have illustrated some interventions to prevent POP in elderly patients with fractures, such as wearing masks during the perioperative period, [26] preoperative balloon blowing to exercise lung function, enhanced recovery after surgery in orthopedics, and establishing professional teams for hip treatment. [27] Based on the association elaborated in this study, our future studies will focus on interventions targeting frailty which may provide a new direction for reducing POP in elderly patients with lower-extremity fractures.…”

Section: Cfs Is Effective and Feasible For The Preoperative Assessmen...mentioning

confidence: 99%

Frailty is associated with an increased risk of postoperative pneumonia in elderly patients following surgical treatment for lower-extremity fractures: A cross-sectional study

Wang

Yang

et al. 2023

Medicine

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Elderly patients with lower-extremity fractures are at high risk of postoperative pneumonia (POP) after surgery due to longtime bed rest. This study aimed to explore whether preoperative frailty is an independent risk factor for POP in elderly patients undergoing surgical treatment for lower-extremity fractures. The study adopted a cross sectional design with 568 patients (≥60 years) admitted to a tertiary hospital in China from January 1, 2021 to June 30, 2022, for surgical intervention of a significant lower-extremity fracture. Preoperative frailty was assessed using the CFS (Clinical Frailty Scale). POP was assessed based on the classic diagnostic criteria reported in previous studies. Univariate and multiple logistic regression analyses were conducted to determine the impacts of preoperative frailty on POP. Of the 568 elderly patients, 65 (11.4%) developed pneumonia during postoperative hospitalization. There were significant differences among gender, hypoproteinemia, type of anesthesia, history of chronic obstructive pulmonary disease (COPD), and CFS scores. Multiple regression analysis revealed that the risk of POP in vulnerable, mildly frail, and severely frail patients increased by 2.38 times ( P = .01, 95% CI [1.22–1.91]), 3.32 ( P = .00, 95% CI [2.39–5.61]), and 5.36 ( P = .00, 95% CI [3.95–6.52]), significantly. 12.8% of patients with hip fractures and 8.9% of patients with other main types of lower-extremity fractures developed POP. However, the difference between hip and non-hip fractures was not statistically significant ( P > .05). Preoperative frailty increases the risk of POP in elderly patients after surgical treatment of main lower-extremity fractures. The severer the preoperative frailty is, the higher the risk of preoperative pneumonia is in elderly patients with lower-extremity fractures. CFS is simple and feasible for the assessment of frailty in elderly patients with lower-extremity fractures. Preoperative frailty assessment and appropriate management strategies should be considered in the perioperative management of elderly patients with lower-extremity fractures.

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Section: Cfs Is Effective and Feasible For The Preoperative Assessmen...mentioning

confidence: 99%

Frailty is associated with an increased risk of postoperative pneumonia in elderly patients following surgical treatment for lower-extremity fractures: A cross-sectional study

Wang

Yang

et al. 2023

Medicine

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“…[2] In Sadat-Ali M. et al study, [3] the 1-year mortality rate associated with hip fractures was 26.98%, which is similar to the results of previous studies. [4] Complications such as pulmonary infection, [5] pressure ulcers, delirium, urinary tract infection, renal insufficiency, deep vein thrombosis, or pulmonary embolism following hip fractures are common, [6] and they directly or indirectly endanger the lives of patients. The preferred treatment for hip fractures is surgical treatment, including hip arthroplasty [7] and internal fixation.…”

Section: Introductionmentioning

confidence: 99%

Poor prognosis and risk factors of nonoperative treatment hip fracture patients with end-stage renal disease

Zhan,

Lu,

Wang

2024

Medicine

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This study aims to summarize the prognosis and risk factors of nonoperative treatment patients of hip fracture with end-stage renal disease (ESRD). A total of 113 individuals of hip fracture with nonoperative treatment were retrospectively enrolled, 38 patients with ESRD were defined as the observation group, and the other 75 patients without ESRD were served as the control group. The difference in 30-day and 1-year mortality rate between the 2 groups was compared. The effects of risk factors on survival were estimated by the Cox proportional-hazards model. The survival difference was estimated by the method of Kaplan–Meier. In the subsequent subgroup analysis of the observation group, as before, the Cox proportional-hazards model and the Kaplan–Meier method were used. The 1-year mortality rate of the observation group was considerably higher than that of the control group, which was 86.84% and 32.0%, respectively (P < .005). For nonoperative treatment hip fracture subjects, ESRD, age ≥ 82, BMI (BMI) < 20, high Charlson Comorbidity Index (CCI) and low Barthel Index (BI) were associated with a low survival curve (P < .05). In the subsequent multivariable subgroup analyses, for nonoperative treatment hip fracture subjects with ESRD, high CCI and low BI were also the independent risk factors of mortality. For nonoperative treatment hip fracture subjects, ESRD, old age, low BMI, high CCI and low BI were the independent risk factors of mortality. For hip fracture subjects with ESRD, nonoperative treatment was associated with excess high 1-year mortality rate, especially for patients with high CCI and low BI.

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Effect of Wearing Medical Masks on Perioperative Respiratory Complications in Older Adults with Hip Fracture: A Retrospective Cohort Study

Cited by 2 publications

References 44 publications

Frailty is associated with an increased risk of postoperative pneumonia in elderly patients following surgical treatment for lower-extremity fractures: A cross-sectional study

Frailty is associated with an increased risk of postoperative pneumonia in elderly patients following surgical treatment for lower-extremity fractures: A cross-sectional study

Poor prognosis and risk factors of nonoperative treatment hip fracture patients with end-stage renal disease

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