Tal Sari, Gurevich Alexander, Sagiv Shaul, Guller Vladimir
Department of Geriatric Medicine, affiliated with the Hebrew University of Jerusalem, Rehovot, Israel.
Geriatr Gerontol Int. 2015 Apr;15(4):443-8. doi: 10.1111/ggi.12294. Epub 2014 Aug 26.
To investigate the potential distinct risk factors associated with trochanteric and cervical hip fractures.
Elderly patients aged 65 years and older (n = 1161) were admitted to the orthopedic department with hip fractures during the years 2006-2011. Demographic and clinical data, as well as routine blood tests, were retrieved from the patient electronic medical records.
Approximately 58% of patients had trochanteric fractures and 42% had cervical fractures. Women were more likely to have trochanteric fractures than men (P = 0.002). Female sex, frailty, falls, diabetes and subnormal calcium, as well as subnormal hemoglobin levels, were significant risk factors for trochanteric fractures (OR 1.39, P = 0.0202, OR 1.36, P = 0.0166, OR 1.49, P = 0.0015, OR 1.33, P = 0.0343, OR 0.68, P = 0.0054, OR 0.70, P = 0.0036, respectively). Patients with Parkinson's disease were at a lower risk for trochanteric fractures (OR 0.6, P = 0.007).
As there are some differences between risk factors for trochanteric and cervical hip fractures, there is a need for further studies in order to understand the etiology of fractures and to be able to carry out effective preventive efforts.
探讨与转子间髋部骨折和股骨颈骨折相关的潜在不同危险因素。
2006年至2011年期间，1161名65岁及以上的老年患者因髋部骨折入住骨科。从患者电子病历中获取人口统计学和临床数据以及常规血液检查结果。
约58%的患者为转子间骨折，42%为股骨颈骨折。女性比男性更易发生转子间骨折（P = 0.002）。女性、身体虚弱、跌倒、糖尿病、钙水平低于正常、血红蛋白水平低于正常是转子间骨折的重要危险因素（OR分别为1.39，P = 0.0202；OR 1.36，P = 0.0166；OR 1.49，P = 0.0015；OR 1.33，P = 0.0343；OR 0.68，P = 0.0054；OR 0.70，P = 0.0036）。帕金森病患者发生转子间骨折的风险较低（OR 0.6，P = 0.007）。
由于转子间髋部骨折和股骨颈骨折的危险因素存在一些差异，需要进一步研究以了解骨折的病因并能够开展有效的预防工作。
