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韩国髋部骨折患者的发病率和死亡率。

Incidence and mortality following hip fracture in Korea.

机构信息

Department of Medicine, Kwandong University College of Medicine, Seoul, Korea.

出版信息

J Korean Med Sci. 2011 Aug;26(8):1087-92. doi: 10.3346/jkms.2011.26.8.1087. Epub 2011 Jul 27.

Abstract

The authors evaluated the incidence of hip fracture and subsequent mortality in Korea using nationwide data obtained from the Health Insurance Review and Assessment Service. This study was performed on patient population, aged 50-yr or older who underwent surgical procedures because of hip fracture (ICD10; S720, S721). All patients were followed using patient identification code to identify deaths. Crude hip fracture rates increased from 191.9/100,000 in 2005 to 207.0/100,000 in 2008 in women and from 94.8/100,000 in 2005 to 97.8/100,000 in 2008, in men respectively. Crude mortality within 12 months after hip fracture showed a similar trend (18.8% in 2005 and 17.8% in 2007). The mean of standardized mortality ratio of hip fracture was 6.1 at 3 months, 3.5 at 1 yr, and 2.3 at 2 yr post-fracture. The increasing incidence and the high mortality after hip fracture are likely to become serious public health problems and a public health program should begin to prevent hip fractures in Korea.

摘要

作者利用从健康保险审查和评估服务机构获得的全国数据,评估了韩国髋部骨折的发病率和随后的死亡率。本研究的患者人群为年龄在 50 岁及以上、因髋部骨折(ICD10:S720、S721)接受手术治疗的患者。所有患者均通过患者识别码进行随访,以确定死亡人数。女性髋部骨折粗率从 2005 年的 191.9/100,000 上升至 2008 年的 207.0/100,000,男性髋部骨折粗率从 2005 年的 94.8/100,000 上升至 2008 年的 97.8/100,000。髋部骨折后 12 个月内的粗死亡率也呈现出类似的趋势(2005 年为 18.8%,2007 年为 17.8%)。髋部骨折的标准化死亡率比值在骨折后 3 个月为 6.1,1 年为 3.5,2 年为 2.3。髋部骨折发病率的上升和高死亡率可能成为严重的公共卫生问题,韩国应开始制定公共卫生项目以预防髋部骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/3154346/8d86e21560a5/jkms-26-1087-g001.jpg

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