Functional Decline Status for the Development of Aspiration Pneumonia in Elderly Patients with Femoral Neck and Trochanteric Fractures: OAJBS Publishers

Functional Decline Status for the Development of Aspiration Pneumonia in Elderly Patients with Femoral Neck and Trochanteric Fractures by Toshihiro Higashikawa* in Open Access Journal of Biomedical Science (OAJBS)

Aspiration pneumonia (AP) has been recognized as one of the most common postoperative complications after hip surgery in elderly. The objective of the present study was to evaluate risk for postoperative complications of AP in elderly patients with femoral neck fractures. We recruited 221 female patients (age 84.9 ± 7.1 years) with a history of hip surgery carried out at Toyama Municipal Hospital. AP occurred in 11 out of 276 cases (3.99%). Fisher’s exact test have found significant differences in gender, serum albumin level, cognitive impairment, and history of osteoporosis, between AP and non-AP groups. Subsequently multiple logistic regression analysis was conducted to investigate the risk factors for AP, including age, body mass index (BMI), serum albumin, cognitive impairment, and activities of daily living (ADL). Univariate odds ratio showed significant differences in age and cognitive disorder, although adjusted odds ratio of these variables showed no significant association with AP incidence. This study suggested that serum albumin and cognitive function seemed to be the weak risk factors for AP but were necessary to assess under adjustment of confounding factors, including age, gender and BMI. Taking account of cognitive functional assistance seemed to be important for the postoperative management of AP, especially in elderly patients receiving surgery of femoral neck and trochanteric fractures.

https://biomedscis.com/fulltext/functional-decline-status-for-the-development-of-aspiration-pneumonia-in-elderly-patients-with-femoral-neck-and-trochanteric-fractures.ID.000230.php

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