泰国清迈骨质疏松性髋部骨折后的长期死亡率。
Long-term mortality after osteoporotic hip fracture in Chiang Mai, Thailand.
机构信息
Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
出版信息
J Clin Densitom. 2010 Jan-Mar;13(1):63-67. doi: 10.1016/j.jocd.2009.10.003.
The purpose of the study was to investigate 10-yr mortality and associated factors after osteoporotic hip fracture. A prospective cohort study of mortality and associated factors was carried out in patients who sustained hip fracture and were admitted to Chiang Mai University Hospital from 1998 through 2003. Eligibility criteria were defined as age over 50yr, hip fracture caused by simple fall, and Singh index of 3 or less.Mortality rates at 3, 6, 12, 24, 36, 60, 96, and 120mo were 10%, 14%, 18%, 27%, 32%, 45%, 55%, and 68%, respectively. One-year mortality rates were 31% in males and 16% in females. The median survival time was 6yr. Ten-year mortality was 68%. Factors correlated with higher mortality were male gender, age greater than 70yr, and nonoperative treatment. Mortality after osteoporotic hip fracture in Thais was extremely high, especially in the first year. It was about 8 times higher than that in the age-adjusted general population.
本研究旨在探讨骨质疏松性髋部骨折 10 年后的死亡率及其相关因素。对 1998 年至 2003 年期间因髋部骨折入住清迈大学医院的患者进行了一项关于死亡率及相关因素的前瞻性队列研究。纳入标准为年龄大于 50 岁、单纯跌倒引起的髋部骨折、Singh 指数小于等于 3。3、6、12、24、36、60、96 和 120 个月的死亡率分别为 10%、14%、18%、27%、32%、45%、55%和 68%。男性 1 年死亡率为 31%，女性为 16%。中位生存时间为 6 年。10 年死亡率为 68%。与死亡率较高相关的因素是男性、年龄大于 70 岁和非手术治疗。泰国骨质疏松性髋部骨折患者的死亡率极高，尤其是在第一年，是年龄调整后普通人群的 8 倍左右。
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