Court-Brown C M, Clement N D, Duckworth A D, Biant L C, McQueen M M
University of Edinburgh, United Kingdom.
Department of Trauma & Orthopaedics, Edinburgh Royal Infirmary, United Kingdom.
Injury. 2017 Apr;48(4):819-824. doi: 10.1016/j.injury.2017.02.021. Epub 2017 Mar 2.
There has been very little analysis of the epidemiology of adult fall-related fractures outwith the osteoporotic population. We have analysed all in-patient and out-patient fall-related fractures in a one-year period in a defined population and documented their epidemiology. The overall prevalence of non-spinal fall-related fractures is 63.1% with 40.7% and 82.7% occurring in males and females respectively. In females aged 20-29 years >50% of fractures follow falls, the equivalent age range in males being 50-59 years. Analysis of fall-related fractures in two one-year periods in 2000 and 2010/11 shows a significant increase in almost all age ranges up to 60-69 years with a decreased incidence in 90+ patients. In males there is a significant increase in 30-39year males but also in males >80years. In females the greatest increase in incidence is in 16-19year females but all age ranges show a significant increase up to 60-69 years. There is a decreased incidence in 90+ females. The reasons for the increase in the incidence of fall-related are multifactorial but they are probably contributed to by the inherently weaker bone of younger females and by the increased incidence of conditions such as obesity and diabetes.
在骨质疏松人群之外，对成人跌倒相关骨折的流行病学分析非常少。我们分析了特定人群中一年内所有住院和门诊的跌倒相关骨折情况，并记录了其流行病学特征。非脊柱跌倒相关骨折的总体患病率为63.1%，男性和女性的患病率分别为40.7%和82.7%。在20 - 29岁的女性中，超过50%的骨折是由跌倒引起的，而男性的相应年龄范围是50 - 59岁。对2000年和2010/11年两个一年期内跌倒相关骨折的分析显示，几乎所有60 - 69岁以下年龄组的骨折发生率都显著增加，而90岁以上患者的发生率有所下降。在男性中，30 - 39岁男性以及80岁以上男性的骨折发生率显著增加。在女性中，16 - 19岁女性的骨折发生率增加最为显著，但所有年龄组直至60 - 69岁都显示出显著增加。90岁以上女性的骨折发生率有所下降。跌倒相关骨折发生率增加的原因是多方面的，但可能是由于年轻女性本身骨骼较弱以及肥胖和糖尿病等疾病发病率增加所致。
