Glinkowski Wojciech, Narloch Jerzy, Krasuski Krzysztof, Śliwczyński Andrzej
Centre of Excellence "TeleOrto" for Telediagnostics and Treatment of Disorders and Injuries of the Locomotor System, Medical University of Warsaw, 02-005 Warsaw, Poland.
Department of Medical Informatics and Telemedicine, Medical University of Warsaw, 02-091 Warsaw, Poland.
J Clin Med. 2019 Sep 18;8(9):1487. doi: 10.3390/jcm8091487.
Hip fractures are a worldwide public health issue associated with significant mortality. Previous Polish studies reported an increasing trend in the number of hip fractures for both men and women, although lower than most other European countries.
The Polish National Database was analyzed to examine osteoporotic hip fractures in the population aged 50 and over. Hip fracture incidence, rate, one-year mortality, and postoperative length of hospitalization were analyzed using the national health system data. Hospital discharge registry ICD-10 codes were reviewed from 2008 to 2015.
The incidence of hip fractures increased in both women and men by 19.4% and 14.2%, respectively. The female to male fracture ratio was 2.46. Mean postoperative hospitalization decreased from 13.6 to 11.2 days. The one-year mortality ranged between 30.45% to 32.8% for men and 26.2% to 28% for women. Of note, women aged 80-89 had the highest one-year mortality, 50.7%-55.4% after femoral neck fracture and 53%-58.5% after a pertrochanteric fracture.
Hip fractures in Poland are increasingly more prevalent in the aging population. The unfavorable trends observed in this study indicate higher annual mortality after hip fracture, compared with other European countries.
髋部骨折是一个全球性的公共卫生问题，与显著的死亡率相关。波兰此前的研究报告称，男性和女性髋部骨折的数量呈上升趋势，尽管低于大多数其他欧洲国家。
分析波兰国家数据库，以研究50岁及以上人群的骨质疏松性髋部骨折。利用国家卫生系统数据，分析髋部骨折的发病率、发生率、一年死亡率和术后住院时间。回顾了2008年至2015年医院出院登记处的ICD - 10编码。
女性和男性髋部骨折的发病率分别上升了19.4%和14.2%。女性与男性的骨折比例为2.46。术后平均住院时间从13.6天降至11.2天。男性的一年死亡率在30.45%至32.8%之间，女性在26.2%至28%之间。值得注意的是，80 - 89岁的女性一年死亡率最高，股骨颈骨折后为50.7% - 55.4%，转子间骨折后为53% - 58.5%。
波兰的髋部骨折在老年人群中越来越普遍。本研究中观察到的不利趋势表明，与其他欧洲国家相比，髋部骨折后的年死亡率更高。
