巴西圣保罗州科蒂亚地区医院老年近端股骨骨折的流行病学概况
EPIDEMIOLOGICAL PROFILE OF PROXIMAL FEMORAL FRACTURES IN OLDER ADULTS AT THE REGIONAL HOSPITAL IN COTIA - SP, BRAZIL.
作者信息
El Fatah Samir Abd, Nunes Willy DA Fonseca, Katz Marcio, Queiroz Henrique VON Rondow DE, Fontana Jeila Kiyono Kawakami, Ikeda Renata Emi
机构信息
Hospital Regional de Cotia, Orthopedics and Traumatology Service, Cotia, SP, Brazil.
Sociedade Brasileira de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2022 Aug 26;30(4):e251020. doi: 10.1590/1413-785220223004e251020. eCollection 2022.
OBJECTIVE
To identify the epidemiological profile of older patients with proximal femoral fractures treated at the Hospital Regional de Cotia, SP - Brazil, and describe the nutritional status of these patients.
METHODS
Data were obtained from the electronic patient medical records from August 2020 to April 2021. The variables studied were age, gender, ethnicity, weight and height (for BMI calculation), and presence of comorbidities. Fracture circumstances were also assessed, including trauma mechanism, anatomical location, and treatment. Moreover, the nutritional profile of patients was assessed using the Mini Nutritional Assessment (MAN).
RESULTS
Most patients were white women, with a mean age of 80 years and an average BMI of 23.55 kg/m. Almost all patients suffered the fracture at home and the most common comorbidities were systemic arterial hypertension, , and Alzheimer's disease. Most patients were considered to be malnourished or at risk of malnutrition.
CONCLUSION
The nutritional status of older adults seems to be directly related to the risk of proximal fractures of the femur.
目的
确定在巴西圣保罗科蒂亚地区医院接受治疗的老年股骨近端骨折患者的流行病学概况，并描述这些患者的营养状况。
方法
数据来自2020年8月至2021年4月的电子患者病历。研究的变量包括年龄、性别、种族、体重和身高（用于计算BMI）以及合并症的存在情况。还评估了骨折情况，包括创伤机制、解剖位置和治疗方法。此外，使用微型营养评定法（MAN）评估患者的营养状况。
结果
大多数患者为白人女性，平均年龄80岁，平均BMI为23.55kg/m。几乎所有患者在家中发生骨折，最常见的合并症是系统性动脉高血压和阿尔茨海默病。大多数患者被认为营养不良或有营养不良风险。
结论
老年人的营养状况似乎与股骨近端骨折的风险直接相关。
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