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新冠疫情对智利骨质疏松性髋部骨折的影响。

Impact of the COVID-19 pandemic on osteoporotic hip fractures in Chile.

机构信息

School of Medicine, University of Concepción, Concepción, Chile.

Endocrinology Section, Department of Internal Medicine, School of Medicine, University of Concepción, Concepción, Chile.

出版信息

Arch Osteoporos. 2022 Sep 30;17(1):130. doi: 10.1007/s11657-022-01165-y.

Abstract

UNLABELLED

The study analyzes whether the COVID-19 pandemic affects annual hip fractures (HF) rates and weekly emergency department (ED) consultations and hospitalizations due to trauma in older people. During the COVID-19 pandemic, HF rates and ED consultation and hospitalization rates due to trauma decreased.

PURPOSE

To describe the effect of the COVID-19 pandemic on annual HF rates and weekly ED consultation and hospitalization rates due to trauma in Chile in 2020, compared to 2016-2019.

METHODS

A retrospective study was conducted based on data from Chile's Department of Statistics and Health Information. Annual HF admissions, weekly ED consultations and hospitalizations due to trauma were described for the years 2016-2020, grouping the years 2016-2019 to compare them with 2020. Rates were calculated per 100.000 inhabitants.

RESULTS

From 2016 to 2020, a total of 35.050 patients aged ≥ 65 years were hospitalized in Chile with a diagnosis of HF, with the lowest number of admissions in 2020 (6.423). During 2020, annual HF rate was 273.6/100.000, representing a decrease of 18.5% compared to the average annual HF rate of 2016-2019 (335.7/100.000). In 2020, the weekly consultation rate due to trauma in older adults decreased by 20.8% and the weekly hospitalization rate due to trauma in older adults decreased by 18.5%.

CONCLUSION

During the COVID-19 pandemic, osteoporotic HF rates decreased, along with ED consultation and hospitalization rates due to trauma in older adults. This could be a result of mobility restrictions and a significant increase in the proportion of self-reliant older adults in the Chilean population.

摘要

目的

描述 2020 年智利 COVID-19 大流行对每年髋部骨折(HF)发生率和每周因创伤导致的急诊部(ED)就诊和住院率的影响,与 2016-2019 年相比。

方法

基于智利统计局和卫生信息部的数据,进行了一项回顾性研究。描述了 2016-2020 年每年 HF 入院人数、每周因创伤导致的 ED 就诊和住院人数,并将 2016-2019 年分组进行比较。计算每 10 万人的发生率。

结果

2016 年至 2020 年,智利共有 35050 名年龄≥65 岁的患者因 HF 住院治疗,2020 年住院人数最少(6423 人)。2020 年,HF 年发生率为 273.6/100000,与 2016-2019 年 HF 年平均发生率(335.7/100000)相比,下降了 18.5%。2020 年,老年人因创伤导致的每周就诊率下降了 20.8%,因创伤导致的老年人每周住院率下降了 18.5%。

结论

在 COVID-19 大流行期间,骨质疏松性 HF 发生率以及老年人因创伤导致的 ED 就诊和住院率下降。这可能是由于流动性限制和智利人口中独立老年人比例的显著增加所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b59/9522536/5a9e2ad4d720/11657_2022_1165_Fig1_HTML.jpg

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