Christchurch School of Medicine and Health Sciences, University of Otago, Christchurch, New Zealand.
School of Health Sciences, University of Canterbury-Te Whare Wānanga o Waitaha, Christchurch, New Zealand.
BMC Geriatr. 2019 Mar 25;19(1):93. doi: 10.1186/s12877-019-1107-1.
Hip fractures are a common injury in older people. Many studies worldwide have identified various risk factors for hip fracture. However, risk factors for hip fracture have not been studied extensively in New Zealand. The interRAI home care assessment consists of 236 health questions and some of these may be related to hip fracture risk.
The cohort consisted of 45,046 home care clients aged 65 years and older, in New Zealand. Assessments ranged from September 2012 to October 2015. Hip fracture diagnosis was identified by linking ICD (International Classification of Diseases) codes from hospital admissions data (September 2012 to December 2015) to the interRAI home care data. Unadjusted and adjusted competing risk regressions, using the Fine and Gray method were used to identify risk factors for hip fracture. Mortality was the competing event.
The cohort consisted of 61% female with a mean age of 82.7 years. A total of 3010 (6.7%) of the cohort sustained a hip fracture after assessment. After adjusting for sociodemographic and potentially confounding variables falls (SHR (Subhazard Ratio) = 1.17, 95% CI (Confidence interval): 1.05-1.31), previous hip fracture (SHR = 4.16, 95% CI: 2.93-5.89), female gender (SHR = 1.38, 95% CI: 1.22-1.55), underweight (SHR = 1.67, 95% CI = 1.39-2.02), tobacco use (SHR = 1.56, 95% CI = 1.25-1.96), Parkinson's disease (SHR = 1.45, 95% CI: 1.14-1.84), and Wandering (SHR = 1.36, 95% CI: 1.07-1.72) were identified as risk factors for hip fracture. Shortness of breath (SHR = 0.80, 95% CI: 0.71-0.90), was identified as being protective against hip fracture risk. Males and females had different significant risk factors.
Risk factors for hip fracture similar to international work on risk factors for hip fracture, can be identified using the New Zealand version of the interRAI home care assessment.
髋部骨折是老年人常见的损伤。全球许多研究已经确定了髋部骨折的各种风险因素。然而，新西兰尚未广泛研究髋部骨折的风险因素。interRAI 家庭护理评估由 236 个健康问题组成，其中一些可能与髋部骨折风险有关。
该队列包括 45046 名年龄在 65 岁及以上的家庭护理客户，来自新西兰。评估时间为 2012 年 9 月至 2015 年 10 月。通过将医院入院数据（2012 年 9 月至 2015 年 12 月）中的国际疾病分类（International Classification of Diseases）代码与 interRAI 家庭护理数据相关联，确定髋部骨折的诊断。使用 Fine 和 Gray 方法的未调整和调整后的竞争风险回归分析，用于确定髋部骨折的风险因素。死亡是竞争事件。
该队列中 61%为女性，平均年龄为 82.7 岁。评估后，共有 3010 名（6.7%）患者发生髋部骨折。在校正社会人口统计学和潜在混杂变量后，跌倒（Subhazard Ratio（SHR）=1.17，95%置信区间（CI）：1.05-1.31）、既往髋部骨折（SHR=4.16，95%CI：2.93-5.89）、女性（SHR=1.38，95%CI：1.22-1.55）、体重不足（SHR=1.67，95%CI：1.39-2.02）、吸烟（SHR=1.56，95%CI：1.25-1.96）、帕金森病（SHR=1.45，95%CI：1.14-1.84）和 Wandering（SHR=1.36，95%CI：1.07-1.72）被确定为髋部骨折的风险因素。呼吸困难（SHR=0.80，95%CI：0.71-0.90）被确定为髋部骨折风险的保护因素。男性和女性有不同的显著风险因素。
使用新西兰版 interRAI 家庭护理评估，可以确定与国际髋部骨折风险因素研究相似的髋部骨折风险因素。
