Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy.
Int J Environ Res Public Health. 2022 Dec 17;19(24):16985. doi: 10.3390/ijerph192416985.
This study aims to determine the annual incidence of proximal femoral fractures in Italy in the period between 2001 and 2016 among older adults, and to describe the trends in the clinical management of these cases. Data were retrieved from the National Hospital Discharge records issued by the Italian Ministry of Health and from the Italian Institute for Statistics. The number of hospitalizations increased between 2001 and 2016, while the age-adjusted yearly incidence decreased from 832.2 per 100,000 individuals to 706.2. The median age was 83 years (IQR 78-88) with a large majority of females (76.6%). The type of fracture varied with age in female subjects, with older women more frequently reporting pertrochanteric fractures. Therapeutic strategies for the different types of fracture depended on patients' age. During the study years, improvements in fracture classification and management strategies were observed, with a clear decreasing trend for non-operative solutions. In conclusion, the number of proximal femur fractures in older adults is growing, even if at a lower rate compared to population aging. The Italian surgical practice changed during the study period towards the implementation of the most recent guidelines.
本研究旨在确定 2001 年至 2016 年间意大利老年人群中股骨近端骨折的年发生率，并描述这些病例临床管理的趋势。数据来自意大利卫生部发布的国家住院记录和意大利统计局。2001 年至 2016 年期间，住院人数增加，而年龄调整后的年发病率从每 10 万人 832.2 例降至 706.2 例。中位年龄为 83 岁（IQR 78-88），女性占绝大多数（76.6%）。骨折类型随女性年龄而变化，老年女性更常报告转子间骨折。不同类型骨折的治疗策略取决于患者的年龄。在研究期间，骨折分类和管理策略有所改进，非手术治疗的比例明显下降。总之，老年人群中股骨近端骨折的数量在增加，尽管与人口老龄化相比增长速度较慢。意大利的手术实践在研究期间发生了变化，朝着实施最新指南的方向发展。
