Holloway K L, Yousif D, Bucki-Smith G, Hosking S, Betson A G, Williams L J, Brennan-Olsen S L, Kotowicz M A, Sepetavc A, Pasco J A
Epi-Centre for Healthy Ageing (ECHA), IMPACT Strategic Research Centre, School of Medicine, Deakin University, PO Box 281, (Barwon Health), Geelong, VIC, 3220, Australia.
Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne, Parkville, Australia.
Arch Osteoporos. 2017 Aug 28;12(1):75. doi: 10.1007/s11657-017-0369-5.
We found that lower limb fractures, which were largely the result of minimal trauma, had high levels of hospitalisation, length of stay and surgery. It is therefore important to prevent fractures at all sites to avoid the associated morbidity and mortality.
Hip fractures are a major cause of morbidity and mortality, particularly in older women. In comparison, less is known about the epidemiology and burden of other lower limb fractures. The study aimed to investigate the epidemiology and burden of these fractures.
Incident fractures of the hip, femur, tibia/fibula, ankle and foot in women (≥ 20 years) managed through the University Hospital Geelong, Australia, were ascertained from 1 Jan. 2014 to 31 Dec. 2014 from radiology reports. Age, cause of fracture, post-fracture hospitalisation, surgery, length of stay and discharge location were ascertained from medical records.
We identified 585 fractures of the lower limb (209 hip, 42 femur, 41 tibia/fibula, 162 ankle, 131 foot). Most fractures were sustained by women aged ≥ 50 years. Fractures were largely a result of minimal trauma. Most women with hip or femur fractures were hospitalised; fewer were hospitalised for fractures at other sites. Surgery for fracture followed the same pattern as hospitalisations. Length of stay was the highest for hip and femur fractures and the lowest for foot fractures. Women with hip or femur fractures were discharged to rehabilitation more often than home. Fractures at other sites were most commonly discharged home.
Fractures of the lower limb occurred frequently in older women. Hospitalisation and subsequent surgery were common in cases of hip and femur fractures. It is important for prevention strategies to target fractures at a range of skeletal sites to reduce costs, hospitalisations, loss of independence and reduced quality of life.
我们发现，下肢骨折大多由轻微创伤所致，其住院率、住院时长及手术率都很高。因此，预防所有部位的骨折以避免相关的发病率和死亡率很重要。
髋部骨折是发病和死亡的主要原因，尤其在老年女性中。相比之下，对于其他下肢骨折的流行病学和负担了解较少。本研究旨在调查这些骨折的流行病学和负担。
通过澳大利亚吉朗大学医院治疗的20岁及以上女性髋部、股骨、胫腓骨、踝关节和足部的新发骨折，从2014年1月1日至2014年12月31日的放射学报告中确定。从病历中确定年龄、骨折原因、骨折后住院情况、手术情况、住院时长及出院地点。
我们确定了585例下肢骨折（209例髋部骨折、42例股骨骨折、41例胫腓骨骨折、162例踝关节骨折、131例足部骨折）。大多数骨折发生在50岁及以上的女性中。骨折大多由轻微创伤所致。大多数髋部或股骨骨折的女性住院治疗；其他部位骨折住院的较少。骨折手术情况与住院情况相同。髋部和股骨骨折的住院时长最长，足部骨折最短。髋部或股骨骨折的女性出院后更常前往康复机构而非回家。其他部位骨折最常出院回家。
老年女性下肢骨折频发。髋部和股骨骨折患者住院及后续手术很常见。针对一系列骨骼部位的骨折制定预防策略，对于降低成本、减少住院、避免失去独立性及改善生活质量很重要。
