ẢNH HƯỞNG CỦA SUY YẾU LÊN KẾT CỤC LÂM SÀNG Ở NGƯỜI CAO TUỔI TRẢI QUA PHẪU THUẬT THAY KHỚP HÁNG

Abstract

Purpose: - To investigate the rate of frailty in elderly hip replacement patients by CSHA-CFS criteria. - To determine the rate of short-term postoperative complications (postoperative inpatient complications, death and hospitalization after 30 days). - To examine the relationship between frailty and short-term clinical outcomes in patients after hip replacement surgery. Methods: A Prospective cohort study was designed to assess 231 cases between October 1, 2021 to June 30, 2022, at Department of Orthopaedics, in Cho Ray hospital. The data collected was analyzed by SPSS software. Results: Frailty was quite common in elderly patients before hip replacement surgery with the rate of 29.7%. The general complication after surgery was 21.7% and the most common was hemorrhage or anemia that needed blood transfusion (15.9%). Frailty before surgery is a factor related to death complications (HR = 6.14; KTC 95% 1.19-31.64; p <0.05) and the risk of re-hospitalization (HR = 8.32; KTC 95% 1.41-48.9; P <0.05) within 30 days after surgery. In addition, no relationship between BMI, age group, gender, ASA, Charlson Comorbidity Index, MMSE and the risk of re -hospitalization, death within 30 days after surgery. Conclusions: This research proposes to carefully screen the frailty for elderly patients with hip replacement surgery. In frail patients, postoperative complications should be closely monitored and advising carers how to take care of patients, rehabilitation plans and avoiding falling. It is necessary to coordinate with surgery, internal medicine and geriatric in the care of the elderly patients with surgical intervention.