Objective: This study aimed to investigate the surgical outcomes in elderly (age ≥ 65) patients with hip fractures combined with hemiplegia and compare them with the surgical outcomes in elderly patients with hip fractures but no hemiplegia.
Methods: A total of 761 elderly patients with hip fractures who were treated between January 2013 and December 2019 were enrolled in this study using a retrospective study design. The patients were divided into two groups: a hemiplegia group (77 cases, 10.1%) and a non-hemiplegia group (684 cases, 89.9%). Length of hospital stay, postoperative complications, 30-day and one-year mortalities, and one-year functional status were compared between the two groups.
Results: The average length of hospital stay in the hemiplegia group (13.51 ± 10.17 days) was longer than in the non-hemiplegia group (12.60 ± 7.83 days), but the difference was not statistically significant (P = 0.354). The incidence of postoperative complications in patients with hemiplegia (28.6%, 22/77) was higher than in patients without hemiplegia (15.4%, 105/684), and the difference was statistically significant (P = 0.003). The 30-day and one-year mortalities in the hemiplegia group were higher than in the non-hemiplegia group (30 days after surgery: 10.4%, 8/77 vs 4.5%, 31/684; one year after surgery: 29.9%, 23/77 vs 15.2%, 104/684), and the difference was statistically significant (30 days after surgery: P = 0.027; one year after surgery: P = 0.001). One year after surgery, the average activity of daily living score was 56.02 ± 9.63 in the hemiplegia group and 76.89 ± 8.40 in the non-hemiplegia group, and the difference was statistically significant (P = 0.000).
Conclusion: Hemiplegia can increase the incidence of postoperative complications and 30-day and one-year mortalities in patients with hip fractures.

Keywords: hip fracture, hemiplegia, curative effect, elderly patients, comorbidity, recovery, complications


中文翻译：

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老年髋部骨折合并偏瘫患者的手术结局分析

目的：本研究旨在调查老年（≥65岁）髋部骨折合并偏瘫患者的手术疗效，并与老年髋部骨折无偏瘫患者的手术疗效进行比较。
方法：采用回顾性研究设计，共纳入 2013 年 1 月至 2019 年 12 月期间接受治疗的 761 名老年髋部骨折患者。将患者分为两组：偏瘫组（77例，10.1%）和非偏瘫组（684例，89.9%）。比较两组住院时间、术后并发症、30天和1年死亡率、1年功能状态。
结果：偏瘫组平均住院时间（13.51±10.17天）长于非偏瘫组（12.60±7.83天），但差异无统计学意义（P=0.354）。偏瘫患者术后并发症发生率（28.6%，22/77）高于非偏瘫患者（15.4%，105/684），差异有统计学意义（P=0.003）。偏瘫组的 30 天和 1 年死亡率高于非偏瘫组（术后 30 天：10.4%，8/77 vs 4.5%，31/684；术后一年：29.9%， 23/77 vs 15.2%，104/684），差异有统计学意义（术后30天：P = 0.027；术后一年：P = 0.001）。术后一年，平均日常生活活动度评分为 56.02±9。
结论：偏瘫可增加髋部骨折患者术后并发症的发生率及30天和1年的死亡率。

Keywords:髋部骨折, 偏瘫, 疗效, 老年患者, 合并症, 康复, 并发症