腰椎骨折的流行病学:全国急诊科就诊数据二十年评估》。

IF 1.1 4区 医学 Q3 ORTHOPEDICS
Michael J Kuharski, Mohammad Daher, Jack J Zhou, Chibuokem P Ikwuazom, Carolyn Andrews, Juhayer Alam, Ryan C Scheer, Mary Lou, Daniel Alsoof, Mariah Balmaceno-Criss, Neil V Shah, Jad Bou Monsef, Bassel G Diebo, Carl B Paulino, Alan H Daniels
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引用次数: 0

摘要

背景:腰椎骨折是一种常见的损伤,会给患者带来巨大的发病率和社会经济负担。本研究试图按受伤机制对腰椎骨折进行流行病学分析,并确定患者人口统计学和处置的时间趋势,此前很少有研究对此进行评估:对 2003 年至 2022 年期间的美国国家电子伤害监测系统(NEISS)数据库进行了回顾性分析。样本包括所有在参与机构急诊科就诊的 2 至 101 岁腰椎骨折患者。共记录了 15,196 例未加权伤害(642,979 例加权伤害):总体而言,20 年的发病率为每 10 万人年 10.14 例,骨折发病率增加了 2 倍。女性比男性更容易发生腰椎骨折(P=0.032)。受伤主要源于跌倒(76.6%)。老年患者的腰椎骨折发生率增长最为显著,其中 80 岁及以上患者的年增长率最高(β=8.771,R2=0.7439,PPP):这些数据表明,迫切需要解决老龄人口骨骼健康状况不佳的问题。[骨科。202x;4x(x):xx-xx]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiology of Lumbar Spine Fractures: Twenty-Year Assessment of Nationwide Emergency Department Visit Data.

Background: Lumbar spine fractures are common injuries associated with substantial morbidity for patients and socioeconomic burden. This study sought to epidemiologically analyze lumbar spine fractures by mechanism of injury and identify temporal trends in patient demographics and disposition, which few studies have previously evaluated.

Materials and methods: A retrospective analysis was done of the US National Electronic Injury Surveillance System (NEISS) database between 2003 and 2022. The sample contained all patients 2 to 101 years old with product-related lumbar fractures presenting to participating institutions' emergency departments. A total of 15,196 unweighted injuries (642,979 weighted injuries) were recorded.

Results: Overall, there was a 20-year incidence rate of 10.14 cases per 100,000 person-years with a 2-fold increase in fracture incidence. Females were more prone to lumbar fracture than males (P=.032). Injuries primarily stemmed from a fall (76.6%). The incidence of lumbar fracture increased most significantly in older patients, with patients 80 years and older showing the greatest annual increase (β=8.771, R2=0.7439, P<.001) and patients 60 to 69 years showing the greatest percent increase with a 3.24-fold increase in incidence. Most (58.9%) of the fractures occurred at home. Females were more often injured at home compared with males (P<.001), who more often sustained lumbar fractures during recreational or athletic activity (P<.001). All patients older than 40 years showed at least a doubling in incidence rate of lumbar fracture between 2003 and 2022.

Conclusion: These data demonstrate the pressing need to address poor bone health in the aging population, shown here to have an increasing fracture burden. [Orthopedics. 202x;4x(x):xx-xx.].

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来源期刊
Orthopedics
Orthopedics 医学-整形外科
CiteScore
2.20
自引率
0.00%
发文量
160
审稿时长
3 months
期刊介绍: For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.
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