老年骨折的流行病学：对全国 100 万例骨折的分析

IF 2.2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2024-09-19 DOI:10.1016/j.injury.2024.111900

Izzet Bingol , Saygin Kamaci , Engin Turkay Yilmaz , Melih Oral , Niyazi Erdem Yasar , Ebru Dumlupinar , Naim Ata , M.Mahir Ulgu , Suayip Birinci , Sinem Bayram , Ahmet Mazhar Tokgozoglu , Huseyin Demirors

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引用次数: 0

摘要

目的老年人骨折给医疗系统带来了沉重负担。本研究旨在调查七年来老年人骨折的发生率和分布情况，分析不同年龄和性别的变化。研究结果将为国家医疗保健战略提供参考，以应对老年骨折日益严重的影响。材料和方法分析了全国范围内个人健康记录系统中的电子健康记录，重点是 ICD-10 中的骨折代码。排除了同一患者在三个月内重复出现的代码。患者被分为三个年龄组（65-74 岁、75-84 岁和 85 岁以上），骨折按解剖学分组。根据每年的实际高危人群计算特定骨折部位的发病率。根据土耳其特定年龄和性别的人口数量，按性别和年龄组对发病率进行了进一步分层。结果 7 年间共发现 1,004,663 例老年骨折（66.9% 为女性，33.1% 为男性）。老年骨折的总发病率为 1.9%（1910/100,000）。髋部骨折最为常见（25.2%），其次是腕部骨折（15%）和腰椎骨盆骨折（11.9%）。股骨骨折主要发生在 75-84 岁和 85 岁以上年龄组，而腕部骨折在 65-74 岁年龄组中更为常见。骨折发生率一般随年龄增长而增加，但踝关节、足部和脚趾骨折除外，男女骨折发生率均随年龄增长而下降（p < 0.05）。腕部、肘部和肱骨轴骨折的男女比例最低（分别为 1:3.2、1:2.7 和 1:2.7）。总骨折发生率最低的年份是 2020 年（1568/100,000），最高的年份是 2017 年（2523/100,000）。不同年龄和性别的老年人骨折模式和发病率各不相同。这些发现为医疗保健规划以及针对特定骨折部位和人口特征制定社区预防措施提供了宝贵的见解。

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The epidemiology of geriatric fractures: A nationwide analysis of 1 million fractures

Objective

Fractures among the geriatric population impose a substantial burden on healthcare systems. This study aims to investigate the incidence and distribution of fractures among geriatric individuals over seven years, analyzing changes by age and sex. The findings will inform national healthcare strategies for addressing the growing impact of geriatric fractures.

Materials and methods

Electronic health records from a nationwide personal health records system were analyzed, focusing on ICD-10 codes for fractures. Recurrent codes for the same patients within three months were excluded. Patients were categorized into three age groups (65–74, 75–84, and 85+ years), and fractures were grouped anatomically. Incidence rates for specific fracture locations were calculated based on the actual population at risk annually. Incidence rates were further stratified by sex and age groups using Turkey's age- and sex-specific populations.

Results

A total of 1,004,663 geriatric fractures (66.9 % female, 33.1 % male) were identified over seven years. The overall fracture incidence among the geriatric population was 1.9 % (1910/100,000). Hip fractures were the most common (25.2 %), followed by wrist (15 %) and lumbar-pelvic fractures (11.9 %). Femur fractures were predominant in the 75–84 and 85+ age groups, while wrist fractures were more common in the 65–74 age group. Fracture incidences generally increased with age, except for ankle, foot, and toe fractures, which decreased with age for both sexes (p < 0.05). The male/female ratio was lowest for wrist, elbow, and humeral shaft fractures (1:3.2, 1:2.7, and 1:2.7, respectively). The lowest overall fracture incidence was observed in 2020 (1568/100,000), while the highest was in 2017 (2523/100,000).

Conclusion

With Turkey's aging population, the socioeconomic impact of geriatric fractures is anticipated to rise. Fracture patterns and incidence vary by age and sex among geriatric individuals. These findings provide valuable insights for healthcare planning and the development of community-based preventive measures tailored to specific fracture locations and demographics.

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.