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天气和季节性对老年人髋部骨折发生率的影响。

The effects of weather and seasonality on hip fracture incidence in older adults.

作者信息

Mirchandani Sunil, Aharonoff Gina B, Hiebert Rudi, Capla Edward L, Zuckerman Joseph D, Koval Kenneth J

机构信息

Geriatric Hip Fracture Research Group, Department of Orthopedic Surgery, Hospital for Joint Disease, New York, NY 10003, USA.

出版信息

Orthopedics. 2005 Feb;28(2):149-55. doi: 10.3928/0147-7447-20050201-17.

Abstract

This study examined the effect of weather and seasonality on hipfracture incidence in older adults residing in New York City. A total off 66,346 patients aged > or = 65 years who sustained a fracture of the femoralneck or intertrochanteric region from 1985 to 1996 comprised the study population. Hip fractures were more likely to occur in the winter than in any of the other seasons (P<.001). Factors significantly correlated with hip fractureincluded minimum daily temperature (r=.167, P<.001), daily wind speed (r=.166, P<.001), maximum daily temperature (r=.155, P<.001), minutes of sunshine (r=.067, P<.01), and average relative humidity (r=.033, P=.03). A greater number of hip fractures occurred in colder months, withambient temperature rather than any adverse circumstances related to rainor snowfall associated most closely to injury. As most fractures occurredindoors, precipitation is less likely to play a part in hip fracture occurrence in this population.

摘要

本研究调查了天气和季节变化对居住在纽约市的老年人髋部骨折发生率的影响。1985年至1996年间,共有66346名年龄≥65岁且股骨颈或转子间区域发生骨折的患者纳入研究人群。髋部骨折在冬季比其他任何季节更易发生(P<0.001)。与髋部骨折显著相关的因素包括日最低气温(r = 0.167,P<0.001)、日风速(r = 0.166,P<0.001)、日最高气温(r = 0.155,P<0.001)、日照分钟数(r = 0.067,P<0.01)和平均相对湿度(r = 0.033,P = 0.03)。在较寒冷的月份发生的髋部骨折更多,与损伤最密切相关的是环境温度,而非与降雨或降雪相关的任何不利情况。由于大多数骨折发生在室内,降水在该人群髋部骨折发生中不太可能起作用。

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