Koren Lior, Barak Adi, Norman Doron, Sachs Ofer, Peled Eli
Isr Med Assoc J. 2014 May;16(5):299-302.
Proximal hip fractures in the elderly are common and place a heavy burden on health resources. Researching the timing of these fractures could contribute to diverting resources towards peaks in incidence and investing in prevention at certain times.
To examine the effect of seasonality, weather and Jewish holidays on hip fracture incidence in older adults. The study population comprised 2050 patients aged 65 years or more who sustained a proximal hip fracture.
The computerized files of the patients were reviewed for trends in incidence by season, precipitation, minimum and maximum temperatures, day of the week, and certain Jewish festivals.
Hip fractures were more likely to occur in the winter than in the summer (P < 0.0001). Factors that significantly correlated with hip fracture were the maximum daily temperature (r = -0.746, P = 0.005) followed by the minimum daily temperature (r = -0.740, P = 0.006) and precipitation (r = 0.329, P = 0.02). There were fewer fractures on Saturdays (the Sabbath) as compared to other days of the week (P = 0.045). Researching the incidence on Jewish holidays, we found an elevated incidence on Passover (P < 0.0001) and a reduced incidence on the Day of Atonement (Yom Kippui) (P = 0.013).
In older people there is an elevated incidence of proximal hip fractures during the winter and on the Jewish festivals. On weekends and on the Day of Atonement the incidence of proximal hip fractures was reduced.
老年人近端髋部骨折很常见，对卫生资源造成沉重负担。研究这些骨折的发生时间有助于将资源转向发病率高峰，并在特定时间进行预防投资。
研究季节性、天气和犹太节日对老年人髋部骨折发病率的影响。研究人群包括2050名65岁及以上发生近端髋部骨折的患者。
查阅患者的计算机化文件，以了解按季节、降水量、最低和最高温度、星期几以及某些犹太节日划分的发病率趋势。
髋部骨折在冬季比夏季更易发生（P < 0.0001）。与髋部骨折显著相关的因素依次为日最高温度（r = -0.746，P = 0.005）、日最低温度（r = -0.740，P = 0.006）和降水量（r = 0.329，P = 0.02）。与一周中的其他日子相比，周六（安息日）的骨折较少（P = 0.045）。研究犹太节日期间的发病率时，我们发现逾越节的发病率升高（P < 0.0001），赎罪日的发病率降低（P = 0.013）。
老年人在冬季和犹太节日期间近端髋部骨折的发病率升高。在周末和赎罪日，近端髋部骨折的发病率降低。
