Item type |
itemtype_ver1(1) |
公開日 |
2023-03-01 |
タイトル |
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タイトル |
A systematic review regarding clinical characteristics, complications, and outcomes of surgical and non-surgical patients with fragility fracture of the pelvis |
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言語 |
en |
著者 |
Kobayashi, Takaomi
Akiyama, Takayuki
Morimoto, Tadatsugu
Hotta, Kensuke
Mawatari, Masaaki
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利 |
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言語 |
en |
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権利情報Resource |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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権利情報 |
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International |
キーワード |
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主題Scheme |
Other |
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主題 |
fragility fracture of the pelvis |
キーワード |
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主題Scheme |
Other |
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主題 |
review |
キーワード |
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主題Scheme |
Other |
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主題 |
complication |
キーワード |
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主題Scheme |
Other |
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主題 |
mobility |
キーワード |
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主題Scheme |
Other |
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主題 |
surgery |
内容記述 |
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内容記述タイプ |
Abstract |
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内容記述 |
We conducted this systematic review to clarify the clinical characteristics, complications, and outcomes of surgical and non-surgical patients with fragility fracture of the pelvis (FFP). We searched PubMed, Google Scholar, Cochrane Library, Web of Science, and MEDLINE for English language articles on FFP. We calculated pooled odds ratios (ORs) or mean differences (MDs) of surgical patients in comparison to non-surgical patients for clinical characteristics (Rommens FFP classification, age, sex, dementia, osteoporosis, diabetes mellitus, pulmonary disease, cardiovascular disease, and malignancy), complications (pneumonia, urinary tract infection, cardiac event, thrombosis, pulmonary embolism, pressure ulcer, multiple organ failure, anemia caused by surgical bleeding, and surgical site infection), and outcomes (hospital mortality and one-year mortality). Five studies involving 1,090 patients with FFP (surgical patients, n=432; non-surgical patients, n=658) were included. FFP type III and IV (OR=8.44; 95% confidence interval [CI] 5.99 to 11.88; p<0.00001), a younger age (MD=–3.29; 95% CI –3.83 to –2.75; p<0.00001), the absence of dementia (OR=0.36; 95% CI 0.23 to 0.57; p<0.0001), and the presence of osteoporosis (OR=1.74; 95% CI 1.29 to 2.35; p=0.0003) were significantly associated with the surgical patients. Urinary tract infection (OR=2.06; 95% CI 1.37 to 3.10; p=0.0005), anemia caused by surgical bleeding (OR=4.55; 95% CI 1.95 to 10.62; p=0.0005), and surgical site infection (OR=16.74; 95% CI 3.05 to 91.87; p=0.001) were significantly associated with the surgical patients. There were no significant differences in the outcomes between the surgical and non-surgical patients. Our findings may help to further understand the treatment strategy for FFP and improve clinical outcomes. |
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言語 |
en |
出版者 |
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出版者 |
Nagoya University Graduate School of Medicine, School of Medicine |
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言語 |
en |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
departmental bulletin paper |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
ID登録 |
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ID登録 |
10.18999/nagjms.85.1.35 |
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ID登録タイプ |
JaLC |
関連情報 |
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関連タイプ |
isVersionOf |
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識別子タイプ |
URI |
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関連識別子 |
https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/851.html |
収録物識別子 |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0027-7622 |
収録物識別子 |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
2186-3326 |
書誌情報 |
en : Nagoya Journal of Medical Science
巻 85,
号 1,
p. 35-49,
発行日 2023-02
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