FRAIL衰弱量表在初次行全膝关节置换术老年患者中的应用

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Abstract Objective To explore the clinical use of FRAIL scale mong older patients of primary total knee arthroplasty(total knee arthroplasty，TKA).Methods Aretrospective analysis of clinical data of 518 older patients(311 males，207 females，age range 60~79 years，and mean age (69.4±6.1)years，who received treatment of primary TKA between Jan 2017 and November 2020 in orthopedics department of Beijing Haidian Hospital was performed.A 30 days follow-up work for complications(incisional infection，periprosthetic infection，myocardial infarction，malignant arrhythmias，pulmonary embolism，cerebral infarction，pneumonia，postoperative delirium，and urinary infection )after surgery was conducted for all included patients.FRAIL scale was used to assess the frail status of included patientson admission.Logistic regression analysis was performed to examine the association between components of FRAIL scale and frailty diagnosed by FRAIL scale with the risk of short-term complications.Results 93 patients(18.0%)were diagnosed with frailty，182 patients(35.1%)were pre-frail and 243 patients(46.9%)were robust.In total，16 patients(3.1%)experienced short-term complications.Among them，7 patients(7.5%)belonged to frail group，5 patients(2.7%)belonged to pre-frail group and 4 patients(1.6%)belonged to robust group.The multivariate logistic regression analyses showed that resistance(OR=1.52，95%CI：1.02~2.28)，illnesses(OR=1.75，95%CI：1.08~2.82)and loss of weight(OR=1.66，95%CI：1.00~2.76)were associated with higher risk of short-term complications after primary TKA.Frail patients(OR=4.86，95%CI：1.39~17.03)had significantly higher risk of short-term complications after primary TKA.Conclusion Among older patients received primary TKA，those frail patients have higher risk of short-term complications.FRAIL scale can be used in clinical practice for older patients of primary TKA to identify those have higher risk of short-term complications.

Key words： FRAIL scale frailty total knee arthroplasty older patient

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	Wu Jingliang
	Zhang Congxiao
	Song Huawei
	et al

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Wu Jingliang,Zhang Congxiao,Song Huawei, et al. Clinical Use of FRAIL Scale in Older Patients of Primary Total Knee Arthroplasty[J]. sygkzz, 2021, 27(6): 501-505.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2021/V27/I6/501

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