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1990 - 2000年塞尔维亚黑山共和国贝尔格莱德髋部骨折的流行病学情况

Epidemiology of hip fractures in Belgrade, Serbia Montenegro, 1990-2000.

作者信息

Lesić A, Jarebinski M, Pekmezović T, Bumbasirević M, Spasovski D, Atkinson Henry D E

机构信息

Institute for Orthopaedic Surgery and Traumatology, Belgrade School of Medicine, Clinical Centre of Serbia, Belgrade, Serbia Montenegro.

出版信息

Arch Orthop Trauma Surg. 2007 Apr;127(3):179-83. doi: 10.1007/s00402-006-0234-2. Epub 2006 Sep 30.

Abstract

INTRODUCTION

This study retrospectively determined the incidence rates of hip fractures in Belgrade, Serbia and Montenegro, during the period 1990-2000.

MATERIALS AND METHODS

All patients with hip fractures treated at all Belgrade hospitals were identified from the Republic of Serbia's Ministry of Health National Health Care database. Patient demographics, type of hip fracture, and details of the mechanism of injury were collected. The annual incidence rates were calculated with interpolation according to the Belgrade population census of 1991 and 2002.

RESULTS

There were a total of 8,904 hip fractures with a mean annual incidence of 51.7 per 100,000 adults (62.2 females and 35.5 males). Mean age at the time of fracture was 67 years (72.6 for females and 59.3 for males), with 64.7% of all fractures occurring in women. There was a significant increase in hip fracture incidence rates over the observed period in females (P = 0.006), but not in males (P = 0.962). Trochanteric fractures predominated, accounting for 53% compared with cervical fractures. In patients over 50 years of age there was an exponential increase in the incidence of hip fractures in both sexes; though more so in females. 91% of hip fractures occurred in these older patients with incidence rates of 143.6 per 100,000 (185.9 for female and 92.2 for male patients). The most common mechanism of injury in the older group was low-energy trauma (70.3%) resulting from a fall from standing height onto a flat surface (same level). Standardizing incidence rates in the older age group to the US 1985 white population gave values of 228 per 100,000 females and 96 per 100,000 males. These incidence rates are similar to those reported in Italy, France and Great Britain, but lower than those in Scandinavian countries.

CONCLUSION

In view of growing population numbers and an increase in the proportion of patients aged over 60 years, we can expect an increase in the prevalence of osteoporosis and an increase in the incidence of fragility hip fractures in the future, with resource implications.

摘要

引言

本研究回顾性地确定了1990 - 2000年期间塞尔维亚和黑山的贝尔格莱德髋部骨折的发病率。

材料与方法

从塞尔维亚共和国卫生部国家医疗保健数据库中识别出在贝尔格莱德所有医院接受治疗的所有髋部骨折患者。收集患者的人口统计学数据、髋部骨折类型以及损伤机制的详细信息。根据1991年和2002年贝尔格莱德人口普查数据进行插值计算年发病率。

结果

共有8904例髋部骨折,成年人年均发病率为每10万人51.7例(女性62.2例,男性35.5例)。骨折时的平均年龄为67岁(女性72.6岁,男性59.3岁),所有骨折中有64.7%发生在女性身上。在观察期内,女性髋部骨折发病率显著增加(P = 0.006),而男性则无显著变化(P = 0.962)。转子间骨折占主导,占53%,而股骨颈骨折占比相对较低。在50岁以上的患者中,男女髋部骨折发病率均呈指数增长;女性增长更为明显。91%的髋部骨折发生在这些老年患者中,发病率为每10万人143.6例(女性185.9例,男性92.2例)。将老年组的发病率标准化为美国1985年白种人群的数据后,女性为每10万人228例,男性为每10万人96例。这些发病率与意大利、法国和英国报告的发病率相似,但低于斯堪的纳维亚国家。

结论

鉴于人口数量的增长以及60岁以上患者比例的增加,预计未来骨质疏松症的患病率将上升,脆性髋部骨折的发病率也将增加,这将对资源产生影响。

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