Bowen University Teaching Hospital, P.O. Box 15, Ogbomosho, Oyo State, Nigeria.
Bowen University, P.M.B 284, Iwo, Osun State, Nigeria.
Sci Rep. 2024 Aug 14;14(1):18913. doi: 10.1038/s41598-024-70108-z.
Life expectancy in sub-Saharan Africa (SSA) has increased owing to economic growth and improvements in medical care. An increased representation of older people among orthopaedic trauma victims is a significant consequence of population ageing, as shown in previous studies, including few in SSA. This retrospective review in Nigeria aims to corroborate previous studies and highlight the emergence of geriatric orthopaedic trauma (GOT) as a public health concern in SSA. Among 241 orthopaedic trauma in-patients aged ≥ 60, the mortality rate was 3.7%. They made up 21.2% of adult orthopaedic trauma admissions. The incidence of GOT increased steadily over the five-year study period with a spike during COVID-19 lockdown. Males constituted 51%. Mean age was 72.5 years (range, 60-105 years). Mean distance to the hospital was 35.8 km and 50.6% lived farther than 10 km. The main causes of injury were falls (50.6%) and traffic crashes (48.1%). Fractures were the predominant (91.7%) injuries. Univariate analyses revealed significant differences along age and gender stratifications. Longer distance to the hospital significantly delayed presentation. The study supports previous studies and shows that GOT is evolving as a public health concern in SSA. The 2030 Sustainable Development agenda is apt to stem the trend.
由于经济增长和医疗保健的改善，撒哈拉以南非洲（SSA）的预期寿命有所增加。老年人在骨科创伤患者中的比例增加是人口老龄化的一个重要后果，以前的研究已经证明了这一点，包括在 SSA 进行的少数研究。这项在尼日利亚进行的回顾性研究旨在证实以前的研究，并强调老年骨科创伤（GOT）作为 SSA 的一个公共卫生问题的出现。在 241 名年龄≥60 岁的骨科创伤住院患者中，死亡率为 3.7%。他们占成人骨科创伤入院人数的 21.2%。在五年的研究期间，GOT 的发病率稳步上升，在 COVID-19 封锁期间出现高峰。男性占 51%。平均年龄为 72.5 岁（范围为 60-105 岁）。平均到医院的距离为 35.8 公里，有 50.6%的人居住在 10 公里以外。主要受伤原因是跌倒（50.6%）和交通事故（48.1%）。骨折是最主要的（91.7%）损伤。单因素分析显示，年龄和性别分层存在显著差异。到医院的距离较长会显著延迟就诊。该研究支持以前的研究，并表明 GOT 正在成为 SSA 的一个公共卫生问题。2030 年可持续发展议程适合遏制这一趋势。
