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基于骨折风险评估工具(FRAX)评分、骨质疏松自我筛查工具(OSTA)评分,并采用安大略省跌倒风险评估量表,研究印度尼西亚老年人骨质疏松症中骨折风险的流行病学情况。

Study epidemiology of risk fracture in osteoporosis based on frax score, and osta score, with risk of fall using Ontario score in elderly Indonesia.

作者信息

Mustamsir Edi, Irsan Istan Irmansyah, Huwae Thomas E C J, Yudistira Andhika, Pradana Ananto Satya, Sugiarto Muhammad Alwy, Siahaan Lasa Dhakka

机构信息

Orthopaedic and Traumatology Department, Faculty of Medicine, Brawijaya University-Saiful Anwar General Hospital, Malang, East Java, Indonesia.

Physical Medicine and Rehabilitation Department, Faculty of Medicine, Brawijaya University-Saiful Anwar General Hospital, Malang, East Java, Indonesia.

出版信息

J Public Health Res. 2022 Sep 16;11(3):22799036221115777. doi: 10.1177/22799036221115777. eCollection 2022 Jul.

Abstract

BACKGROUND

Osteoporosis is characterized by a low bone mass of bone tissue. If osteoporosis is not treated properly, it will increase the high risk of fracture. The common causes of fracture on osteoporosis condition due to falls. This study aims to find the correlation between the risk of osteoporosis with fall risk (ONTARIO) based on osteoporosis fracture risk (FRAX).

METHODS

This study is an analytic study with a cross-sectional method. We collected the sample using random cluster sampling in the six primary health care in Malang on different times service since August-September 2021. Total patient 139, however only 132 patients were included in this study. After collecting data is complete, we analyze using Chi-square tests.

RESULTS

The mean age of participants was 63.9 ± 7.14. with the age group was dominated by the range of 60-64. It was found that the result of the FRAX SCORE had a low-risk category for major fracture osteoporosis and risk hip fracture. In contrast, from the OSTA score in this study, more than 68 participants (50.8%) were found medium and high-risk scores. Then, in ONTARIO score of the risk fall assessment, and high score in 57 participants (43.2%). If compared between OSTA and ONTARIO, there was a significant relationship between OSTA score and ONTARIO score ( < 0.000) with high-risk OSTA have a significant relationship with a high risk of falling and vice versa.

CONCLUSION

In this study, there was a relationship between the risk of high osteoporosis and the risk of falling.

摘要

背景

骨质疏松症的特征是骨组织骨量低。如果骨质疏松症得不到妥善治疗,将会增加骨折的高风险。骨质疏松症情况下骨折的常见原因是跌倒。本研究旨在基于骨质疏松性骨折风险(FRAX)找出骨质疏松症风险与跌倒风险(安大略省)之间的相关性。

方法

本研究是一项采用横断面方法的分析性研究。自2021年8月至9月,我们在玛琅的六个初级卫生保健机构不同时段的服务中使用随机整群抽样收集样本。总共有139名患者,然而本研究仅纳入了132名患者。收集完数据后,我们使用卡方检验进行分析。

结果

参与者的平均年龄为63.9±7.14岁,年龄组以60 - 64岁范围为主。发现FRAX评分结果显示骨质疏松性主要骨折和髋部骨折风险为低风险类别。相比之下,根据本研究中的OSTA评分,超过68名参与者(50.8%)的OSTA评分为中高风险。然后,在跌倒风险评估的安大略省评分中,57名参与者(43.2%)得高分。如果比较OSTA和安大略省评分,OSTA评分与安大略省评分之间存在显著关系(<0.000),高风险的OSTA与高跌倒风险存在显著关系,反之亦然。

结论

在本研究中,高骨质疏松症风险与跌倒风险之间存在关联。

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