Yonai Yaniv, Masarwa Salim, Ben Natan Merav, Berkovich Yaron
The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel.
Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, P.O.B. 169, Hadera, 38100, Israel.
Eur J Trauma Emerg Surg. 2024 Dec;50(6):3125-3131. doi: 10.1007/s00068-024-02569-w. Epub 2024 Jul 25.
This study investigates the seasonal patterns of hip fracture occurrence and mortality rates in the elderly population of Israel.
In this retrospective study, we examined a random sample of 400 patients who underwent a hip fracture repair surgery at a 495-bed hospital in northern-central Israel during the years 2021-2022.
Our findings reveal a heightened incidence of hip fractures during the spring (30.8%) in contrast to relatively consistent rates during other seasons (22-24.2%). Patients experiencing hip fractures in the spring were notably younger and had shorter hospital stays compared to those in other seasons. Furthermore, we identified seasonal variations in hip fracture incidence concerning gender, culture, and nationality. Over the 2-year follow-up period, 20% of patients had succumbed to mortality. The highest survival rate was associated with hip fractures sustained in the spring, while the lowest rates were observed in the autumn and winter.
While our study highlights significant seasonal variations in hip fracture occurrence and mortality rates among the elderly population in Israel, caution is warranted in interpreting the implications for post-fracture care and resource allocation. The observed heightened incidence of hip fractures during the spring, particularly among younger patients with shorter hospital stays, suggests the need for further investigation into potential risk factors and preventive measures specific to this season. Additionally, our identification of seasonal variations in hip fracture incidence across demographic factors underscores the importance of tailored interventions to address the diverse needs of different populations.
本研究调查了以色列老年人群髋部骨折发生的季节性模式和死亡率。
在这项回顾性研究中，我们检查了2021年至2022年期间在以色列中北部一家拥有495张床位的医院接受髋部骨折修复手术的400名患者的随机样本。
我们的研究结果显示，春季髋部骨折的发生率较高（30.8%），而其他季节的发生率相对稳定（22%-24.2%）。与其他季节相比，春季发生髋部骨折的患者明显更年轻，住院时间更短。此外，我们还发现了髋部骨折发生率在性别、文化和国籍方面的季节性差异。在为期2年的随访期内，20%的患者死亡。生存率最高的是春季发生的髋部骨折，而秋季和冬季的生存率最低。
虽然我们的研究突出了以色列老年人群髋部骨折发生和死亡率的显著季节性差异，但在解释对骨折后护理和资源分配的影响时应谨慎。春季髋部骨折发生率较高，尤其是住院时间较短的年轻患者，这表明需要进一步调查该季节特有的潜在风险因素和预防措施。此外，我们对不同人口统计学因素的髋部骨折发生率季节性差异的识别强调了针对性干预措施以满足不同人群多样化需求的重要性。
