Department of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Department of Medicine (RMH), The University of Melbourne, Melbourne, Victoria, Australia.
Intern Med J. 2019 May;49(5):658-661. doi: 10.1111/imj.14280.
There is a paucity of epidemiological data in Australia on fracture rates in patients with chronic kidney disease (CKD). Using data from the Victorian Admitted Episodes Dataset, we assessed the incidence of hip fractures requiring hospitalisation between 2006 and 2015, comparing those coded with and without the co-morbidity CKD. ICD-9 and ICD-10 codes were used to determine hip fractures and comorbidities. Overall, 7.4% of 77 076 Victorian hospital admissions for hip fractures had CKD as a co-morbidity, with an increasing proportion over the study period. Mortality was significantly higher in the CKD cohort compared to no CKD, perhaps in part due to increased associated comorbidities of diabetes and ischaemic heart disease.
在澳大利亚,关于慢性肾脏病(CKD)患者骨折发生率的流行病学数据很少。我们使用维多利亚州入院病例数据集的数据,评估了 2006 年至 2015 年期间需要住院治疗的髋部骨折的发生率,比较了那些伴有和不伴有合并症 CKD 的病例。使用 ICD-9 和 ICD-10 编码来确定髋部骨折和合并症。总体而言,77076 例维多利亚州髋部骨折住院患者中有 7.4%合并 CKD,在研究期间这一比例呈上升趋势。与无 CKD 组相比,CKD 组的死亡率显著更高,部分原因可能是由于糖尿病和缺血性心脏病等相关合并症的增加。