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Eingeschlossen wurden nur Patienten \u00e4lter als 60 Jahre. Die patientenbezogenen Parameter umfassten Alter, Geschlecht, Frakturlokalisation, Methode der operativen Versorgung, Operationszeitpunkt, Dauer der Operation und des station\u00e4ren Aufenthalts, Bluttransfusion, Komplikationen, Komorbidit\u00e4ten, Einnahme von Antikoagulanzien und Notwendigkeit einer postoperativen intensivmedizinischen Behandlung. Der Zusammenhang zwischen diesen Parametern und der Klinikmortalit\u00e4t sowie dem Auftreten von Komplikationen wurde untersucht.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Daten von 360 Patienten mit 335 Operationen (w:m 225:110) mit einem Alter von 83\u202f\u00b18\u00a0Jahren wurden erfasst. Die Klinikmortalit\u00e4t lag bei 7,76\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u200926) und erh\u00f6hte sich bei Alter &gt;\u202f85\u00a0Jahren (Odds Ratio [OR] 5,126; 95%-Konfidenzintervall [95\u202f%-KI] 0,665\u201339,498; <jats:italic>p<\/jats:italic>\u202f=\u20090,1167), m\u00e4nnlichem Geschlecht (OR 1,85 95%-KI [0,82\u20134,14]; <jats:italic>p<\/jats:italic>\u202f=\u20090,0555), Zeitpunkt der Operation &gt;\u202f24\u202fh (OR 1,896 95%-KI [0,661\u20135,441]; <jats:italic>p<\/jats:italic>\u202f=\u20090,2341), \u2265\u202f3\u00a0Vorerkrankungen (OR 10,61 95%-KI [3,681\u201327,501]; <jats:italic>p<\/jats:italic>\u202f&lt;\u202f0,0001), Einnahme von Antikoagulanzien (OR 6,19 95%-KI [2,69\u201314,24]; <jats:italic>p<\/jats:italic>\u202f&lt;\u202f0,0001) und notwendiger postoperativer intensivmedizinischer Behandlung (OR 5,9 95%-KI [2,56\u201313,76]; <jats:italic>p<\/jats:italic>\u202f&lt;\u202f0,0001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>In der vorliegenden Studie fanden sich statistisch signifikante Einfl\u00fcsse der Anzahl der Komorbidit\u00e4ten, der Einnahme von Antikoagulanzien sowie der intensivmedizinischen Behandlung auf die Klinikmortalit\u00e4t bei Patienten mit h\u00fcftgelenknahen Frakturen an einem regionalen Traumazentrum.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00391-021-01869-9","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T17:02:34Z","timestamp":1616518954000},"page":"561-570","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Einflussfaktoren auf die Mortalit\u00e4t bei Patienten mit h\u00fcftgelenknahen Frakturen an einem regionalen Traumazentrum","Risk factors affecting mortality in patients with hip fractures at a\u00a0regional trauma center"],"prefix":"10.1007","volume":"54","author":[{"given":"Ali","family":"Darwich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elio","family":"Assaf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Klein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sascha","family":"Gravius","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph G.","family":"W\u00f6lfl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Jawhar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"key":"1869_CR1","first-page":"13","volume-title":"Abgrenzungskriterien der Geriatrie","author":"M Borchelt","year":"2004","unstructured":"Borchelt\u00a0M, Pientka\u00a0L, Wrobel\u00a0N (2004) Abgrenzungskriterien der Geriatrie, S\u00a013"},{"key":"1869_CR2","doi-asserted-by":"publisher","DOI":"10.1177\/1120700019897878","author":"A Arshi","year":"2020","unstructured":"Arshi\u00a0A, Lai\u00a0WC, Iglesias\u00a0BC et\u00a0al (2020) Blood transfusion rates and predictors following geriatric hip fracture surgery. 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Die Daten dieser Studie stammen ausschlie\u00dflich aus der Klinik f\u00fcr Orthop\u00e4die, Unfallchirurgie und Sporttraumatologie am Marienhausklinikum Hetzelstift Neustadt an der Weinstra\u00dfe (regionales Traumazentrum).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}