Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
East Arkansas Orthopedic Associates, 902 Holiday Drive, Forrest City, AR, 72335, USA.
Public Health. 2017 Jan;142:64-69. doi: 10.1016/j.puhe.2016.10.018. Epub 2016 Nov 22.
Fractures in geriatric age group (over 65 years of age) are an important public health issue and frequent causes of emergency room visits. The purpose of this descriptive epidemiological study was to present the epidemiology of geriatric fractures and their trends in the USA using National Electronic Injury Surveillance System (NEISS) database from year 2004-2014.
National Electronic Injury Surveillance System (NEISS) Database was queried for all fracture injuries from 2004 to 2014 for ages 65 years and above. The proportions of fractures based on NEISS national estimates were calculated and their trends using linear regression over last 11 years were studied.
Lower trunk (pelvis, hip and lower spine) fractures were the most common (34% for year 2014) type of fractures in this age group. Upper trunk (upper spine, clavicle and ribs) fractures were the second most common type of fractures (13% for year 2014). Other body parts commonly fractured involved the upper arm and wrist with an average of 7% fractures in both during the study period. About 5% of geriatric fractures pertained to shoulder and upper leg. Although less common, there was also about 2% increase in fractures to face and neck in 2014 as compared to about 3.2% and 1% respectively in 2004. Fractures to other body parts were less common with no major variations during the study period.
Overall, lower trunk (hip, pelvic and lower spine) fractures were the most common geriatric fractures followed by upper trunk (upper spine, clavicle and rib) fractures. We suggest that there were decreasing trends for incidence of lower trunk, wrist and upper body fractures over the last 11 years (2004-2014). Approximately half of the geriatric fractures presenting to Emergency Department needed hospitalizations.
老年人群（65 岁以上）的骨折是一个重要的公共卫生问题，也是急诊就诊的常见原因。本描述性流行病学研究的目的是使用 2004-2014 年国家电子伤害监测系统（NEISS）数据库，介绍美国老年骨折的流行病学及其趋势。
查询 2004 年至 2014 年国家电子伤害监测系统（NEISS）数据库中所有 65 岁以上人群的骨折损伤。根据 NEISS 全国估计计算骨折的比例，并研究过去 11 年的线性趋势。
在该年龄组中，下躯干（骨盆、髋部和下脊柱）骨折是最常见的骨折类型（2014 年为 34%）。上躯干（上脊柱、锁骨和肋骨）骨折是第二常见的骨折类型（2014 年为 13%）。其他常见骨折部位涉及上臂和手腕，在研究期间平均各有 7%的骨折。约 5%的老年骨折与肩部和大腿有关。虽然不太常见，但与 2004 年分别约为 3.2%和 1%相比，2014 年面部和颈部骨折增加了约 2%。其他身体部位骨折较少，研究期间无明显变化。
总体而言，下躯干（髋部、骨盆和下脊柱）骨折是最常见的老年骨折，其次是上躯干（上脊柱、锁骨和肋骨）骨折。我们发现，在过去 11 年（2004-2014 年），下躯干、手腕和上身骨折的发病率呈下降趋势。约有一半到急诊科就诊的老年骨折患者需要住院治疗。
