老年病人是否会 "警告 "他们将遭受新的骨折？

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233105e266844

Samuel Bichara Melin, Marcela Rodrigues Santos DO Nascimento, Alfredo Dos Santos, Caio Zamboni

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引用次数: 0

摘要

摘要评估入院接受骨折治疗的 60 岁以上患者是否有骨折史、骨质疏松症诊断或正在接受骨脆性治疗：方法：回顾性研究，包括 100 名 60 岁以上骨折患者。对骨折位置、过去两年内的骨密度测量、既往诊断和骨质疏松症治疗以及过去五年内的骨折情况进行了评估。通过费雪检验，评估了既往骨折与骨质疏松症治疗之间是否存在关联：结果：最常见的骨折部位是股骨近端（48%）。其中，18%的患者在过去五年中发生过骨折，22%的患者被诊断为骨质疏松症，22%的患者正在接受治疗。过去五年中曾发生骨折与骨质疏松症诊断、骨密度测量或正在接受骨质疏松症治疗无关：结论：在曾有骨折经历的患者中，只有 22% 的人知道自己被诊断为骨质疏松症，不到 25% 的人正在接受骨质疏松治疗。过去五年中曾发生骨折与骨质疏松症诊断、骨密度测量或接受骨质疏松症治疗没有关系。证据等级 III，回顾性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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DO OLDER PATIENTS "WARN" THAT THEY WILL SUFFER A NEW FRACTURE?

Objective: To evaluate whether patients older than 60 years admitted for fracture treatment had a history of previous fracture, a diagnosis of osteoporosis, or were under treatment for bone fragility.

Methods: Retrospective study including 100 patients older than 60 years with fracture. Fracture location, bone densitometry within the past two years, previous diagnosis and osteoporosis treatment, and previous fracture within the past five years were assessed. Using Fisher's test, it was evaluated whether there was an association between previous fracture and osteoporosis treatment.

Results: The most prevalent fracture was in the proximal femur (48%). Of the patients, 18% had fracture in the last five years, with 22% of them diagnosed with osteoporosis, and 22% under treatment. Previous fracture in the last five years was not associated with having a diagnosis of osteoporosis, having had bone densitometry, or being under treatment for osteoporosis.

Conclusion: Among patients with previous fracture, only 22% were aware of their diagnosis of osteoporosis, and less than 25% of them were under bone fragility treatment. Previous fracture in the past five years had no association with having a diagnosis of osteoporosis, having had bone densitometry, or being on osteoporosis treatment. Level of Evidence III, Retrospective Study.

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.