From: The impact of an orthogeriatric intervention in patients with fragility fractures: a cohort study
Historical Cohort (n = 170) | Orthogeriatric cohort (n = 421) | Odds ratio of postoperative complications in historical versus orthogeriatric cohort | ||||
---|---|---|---|---|---|---|
% | % | OR (95% CI) | P-value* | Adjusted OR (95% CI) | P-value* | |
Overall complications (n = 577) | 24.5 | 28.3 | 1.21 (0.80–1.18) | 0,36 | 1.35 (0.88–2.08) | 0.17 |
Medical complications (n = 577) | 23.3 | 27.1 | 1.22 (0.80–1.85) | 0.36 | 1.36 (0.88–2.10) | 0.17 |
Delirium (n = 585) | 3.0 | 5.5 | 1.90 (0.71–5.10) | 0.20 | 2.07 (0.76–5.67) | 0.16 |
Urinary tract infection (n = 585) | 11.9 | 11.0 | 0.92 (0.52–1.60 | 0.76 | 0.98 (0.56–1.74) | 0.96 |
Pulmonary complications (n = 585) | 8.3 | 14.1 | 1.81 (0.98–3.34) | 0.06 | 2.00 (1.06–3.78) | 0.03 |
Pneumonia | 7.1 | 13.7 | 2.06 (1.07–3.94) | 0.03 | 2.33 (1.18–4.59) | 0.01 |
Exacerbation of COPD^ | 1.2 | 1.2 | 1.01 (0.19–5.24) | 0.99 | 0.97 (0.18–5.28) | 0.97 |
Cardiac complications | 4.8 | 4.3 | 0.90 (0.38–2.12) | 0.81 | 1.02 (0.42–2.47) | 0.96 |
Arrhythmia | 3.6 | 4.1 | 1.15 (0.44–2.96) | 0.78 | 1.26 (0.48–3.32) | 0.64 |
Congestive heart failure | 0 | 0.7 | 1 | 1 | ||
Myocardial infarction | 1.2 | 0.7 | 0.60 (0.99–3.63) | 0.58 | 0.75 (0.12–4.74) | 0.76 |
Cerebral complications | 0 | 0.2 | 1 | 1 | ||
Thromboembolic complications | 1.2 | 0.5 | 0.40 (0.56–2.86) | 0.36 | 0.34 (0.05–2.49) | 0.29 |
Deep vein thrombosis | 0.6 | 0.5 | 0.80 (0.72–8.94) | 0.86 | 0.69 (0.61–7.80) | 0.77 |
Pulmonary embolism | 0.6 | 0.24 | 0.40 (0.25–6.45) | 0.52 | 0.33 (0.02–5.61) | 0.44 |
Gastrointestinal (GI) complications | 0 | 1.9 | 1 | 1 | ||
Ileus | 0 | 0.5 | 1 | 1 | ||
Gastrointestinal bleeding | 0 | 1.7 | 1 | 1 | ||
Pressure ulcer (n = 577) | 0 | 0 | 1 | 1 | ||
Subsequent fracture | 0.6 | 0.5 | 0.80 (0.07–8.94) | 0.86 | 0.82 (0.07–9.27) | 0.87 |
Surgical complication (n = 585) | 1.2 | 1.7 | 1.42 (0.29–6.89) | 0.67 | 1.47 (0.30–7.21) | 0.64 |
Surgical site infection | 0.6 | 1.2 | 2.03 (0.24–17.48) | 0.52 | 2.36 (0.27–20.7) | 0.44 |
Surgical complication | 1.2 | 0.7 | 0.61 (0.10–3.65) | 0.58 | 0.54 (0.08–3.37) | 0.51 |
Complications per patient (n = 577) | ||||||
= 0 | 75.4 | 71.7 | 1 | 1 | ||
= 1 | 19.8 | 20.2 | 1.08 (0.68–1.70) | 0.75 | 1.21 (0.76–1.93) | 0.43 |
≥ 2 | 4.8 | 8.1 | 1.77 (0.79–3.93) | 0.16 | 1.99 (0.87–4.54) | 0.10 |