- The study investigates the relationship between the systemic immune-inflammation index (SII) and clinical outcomes in critically ill elderly patients with hip fractures requiring ICU care, revealing its potential role in assessing health risks in this population.
- An analysis of 991 participants indicated that higher SII levels were significantly associated with increased mortality rates, showing 30-day and 1-year mortality rates of 19.68% and 33.40%, respectively.
- The findings suggest that elevated SII can predict higher risks of all-cause mortality in these patients, with adjusted hazard ratios indicating a clear correlation between increased SII and higher likelihood of death within both 30 days and 1 year post-admission.
The study compares the mechanical behaviors of five common fixation methods for Pauwels-III fractures, including Locking Plate (LP), Dynamic Hip Screw (DHS), Multiple Lag Screw (MLS), and a mixed fixture of DHS+MLS, alongside HemiArthroplasty (HA).
Using finite element modeling, researchers analyzed 20 CT scans of femurs to evaluate the performance of these fixation methods in terms of displacement and stress under load.
Results showed that while DHS and DHS+MLS had higher stress responses, all fixation methods, including HA and LP, were deemed suitable, with HA and LP recommended for optimal clinical treatment of Pauwels-III fractures.