Effet de la maladie de Parkinson sur le devenir de patients chinois ayant une fracture inter-trochantérienne : analyse cas témoin par le score de propension - 19/06/20
The effect of Parkinson's disease on Chinese geriatric patients with intertrochanteric fracture: A propensity score-matched analysis
Abstract |
Background |
Currently, few studies focus on the treatment of Parkinson's disease (PD) patients after a fracture. The effect of PD on geriatric patients with intertrochanteric fracture remains unclear. Therefore, we performed a study to focus on two questions as follow: (1) would PD increase the operation difficulty and perioperative complications in Chinese elderly patients with intertrochanteric fracture? (2) Is there any difference between the clinical outcome of patients with and without PD?
Hypothesis |
PD would increase perioperative complications and influence the postoperative rehabilitation in elderly patients with intertrochanteric fracture.
Materials and methods |
There were 445 elderly intertrochanteric fracture patients treated with proximal femoral nail anti-rotation during January 2010 and December 2017. After propensity score matching, twenty-four geriatric intertrochanteric fracture patients with PD and forty-eight geriatric intertrochanteric fracture patients without PD were enrolled in this retrospective study. Intraoperative and postoperative comparison were conducted between patients with and without PD.
Results |
Compared with 63 months for geriatric intertrochanteric fracture patients without PD, patients with PD had a median survival time of 31 months. The Harris Hip Score and Barthel Index of patients with PD were significantly lower than that of patients without PD. In addition, the Depression subscale score of patients with PD were significantly higher that of patients without PD.
Discussion |
The effect of PD on geriatric patients with intertrochanteric fracture is not the operation itself, but the postoperative rehabilitation. In addition, multi-disciplinary treatment, personal rehabilitation training, more intensive outpatient care, and meticulous nursing were recommended in treatment for elderly patients with intertrochanteric fracture and PD.
Level of proof |
III, Cohort Comparative Study.
Le texte complet de cet article est disponible en PDF.Keywords : Parkinson's disease, Geriatric patients, Intertrochanteric fracture, Propensity score-matched analysis
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 106 - N° 4
P. 359 - juin 2020 Retour au numéro
Article précédent
- Quel est le devenir à long terme des patients admis dans une filière gériatrique pour une fracture de la hanche ? Étude de cohorte prospective
- Philippe Beauchamp-Chalifour, Etienne Belzile, Louis-Charles Racine, Marie-Pier Nolet, Stéphane Lemire, Sonia Jean, Stéphane Pelet
- Fractures Pertrochantériennes et « Fast Track » : quels impacts fonctionnels et d’autonomie après hospitalisation ?
- Mathurin Gomez, Louis Rony, Clément Marc, Abdelhafid Talha, Nicolas Ruiz, Sophie Noublanche, André Gillibert, Sara Bergman, Vincent Maynard, Laurent Hubert
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?