芬兰中部类风湿关节炎患者髋部骨折风险增加两倍。
Threefold increased risk of hip fractures with rheumatoid arthritis in Central Finland.
作者信息
Huusko T M, Korpela M, Karppi P, Avikainen V, Kautiainen H, Sulkava R
机构信息
Department of Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Jyväskylä, Finland.
出版信息
Ann Rheum Dis. 2001 May;60(5):521-2. doi: 10.1136/ard.60.5.521.
OBJECTIVES
To evaluate the impact of rheumatoid arthritis (RA) on the incidence of hip fractures.
METHODS
All patients with acute hip fractures admitted to Jyväskylä Central Hospital in 1991-93 (n=517) were selected from the hospital discharge register. Medical records of these patients were studied retrospectively for RA fulfilling the American Rheumatism Association criteria. The prevalence of RA in patients with hip fractures was compared with the prevalence rates of RA obtained from the nearby city of Tampere.
RESULTS
29 (5.6%; 95% CI 3.8 to 8.0) of the patients with hip fracture in Jyväskylä Central Hospital had RA. The age and sex adjusted risk of hip fractures was increased by RA (risk ratio 3.26; 95% CI 2.26 to 4.70).
CONCLUSIONS
Patients with RA are at increased risk of osteoporotic hip fractures.
目的
评估类风湿关节炎（RA）对髋部骨折发生率的影响。
方法
从于韦斯屈莱中心医院1991 - 1993年收治的所有急性髋部骨折患者（n = 517）的医院出院登记册中选取病例。对这些患者的病历进行回顾性研究，以确定是否符合美国风湿病协会标准的类风湿关节炎。将髋部骨折患者中类风湿关节炎的患病率与附近坦佩雷市的类风湿关节炎患病率进行比较。
结果
于韦斯屈莱中心医院髋部骨折患者中有29例（5.6%；95%可信区间3.8%至8.0%）患有类风湿关节炎。类风湿关节炎使髋部骨折的年龄和性别校正风险增加（风险比3.26；95%可信区间2.26至4.70）。
结论
类风湿关节炎患者发生骨质疏松性髋部骨折的风险增加。
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