Yang Miaomiao, Zhang Ying
Department of Nursing, Zhongshan Hospital Fudan University, 180 Fenglin Road, Xuhui District, Shanghai, 200032, China.
Arthroplasty. 2024 Apr 1;6(1):18. doi: 10.1186/s42836-024-00236-4.
This study aimed to analyze the epidemiological characteristics of hip fracture in all age groups in Shanghai, and to evaluate the hospitalization cost of patients with hip fracture.
A total of 1,332 hip fracture patients admitted to a tertiary general hospital between January 2015 and May 2020 in Shanghai were included. Age, sex, diagnosis, cause of injury and site, fracture type, comorbidities, length of stay, treatment, outcomes (at discharge) and hospitalization expenses were recorded. The epidemiological characteristics of hip fracture were analyzed by using SPSS 26.0 software.
The average age of hip fracture was 77.24 ± 12.66 years, and 69.0% of the patients were female. Overall, 886 patients had femoral neck fracture, and 446 patients suffered from intertrochanteric fracture. Most of the fractures caused by falls at the same level and falls from a height occurred in those aged 81-90 years; and traffic accident injuries mostly took place in patients aged 50-60. Among the 1,302 hip fracture patients who underwent surgical treatment, hip replacement was the major choice for femoral neck fracture, accounting for 49.2%. Internal fixation was the main treatment choice for intertrochanteric fracture, making up 97.8%. The median length of hospital stay lasted 8 days and at cost of hospitalization was ¥49,138.18 RMB.
This epidemiological study found that patients with hip fracture had certain distribution characteristics in age, sex, type of fracture, injury season, cause of injury, mode of operation, length of stay, cost, and so on. Proper medical management, social preventive measures, and prevention of falls are needed to reduce the risk of hip fracture and the socioeconomic burden.
本研究旨在分析上海各年龄组髋部骨折的流行病学特征，并评估髋部骨折患者的住院费用。
纳入2015年1月至2020年5月期间在上海某三级综合医院收治的1332例髋部骨折患者。记录患者的年龄、性别、诊断、损伤原因及部位、骨折类型、合并症、住院时间、治疗方式、出院时的结局及住院费用。采用SPSS 26.0软件分析髋部骨折的流行病学特征。
髋部骨折患者的平均年龄为77.24±12.66岁，69.0%为女性。总体而言，886例患者为股骨颈骨折，446例患者为转子间骨折。同一水平跌倒和高处坠落导致的骨折大多发生在81 - 90岁的人群中；交通事故伤大多发生在50 - 60岁的患者中。在1302例接受手术治疗的髋部骨折患者中，髋关节置换是股骨颈骨折的主要治疗选择，占49.2%。内固定是转子间骨折的主要治疗选择，占97.8%。住院时间中位数为8天，住院费用为49138.18元人民币。
本流行病学研究发现，髋部骨折患者在年龄、性别、骨折类型、损伤季节、损伤原因、手术方式、住院时间、费用等方面具有一定的分布特征。需要采取适当的医疗管理、社会预防措施和预防跌倒措施，以降低髋部骨折的风险和社会经济负担。
