老年人群中的骨科运动损伤：当前趋势与未来预测
Orthopaedic Sports Injuries in an Aging Population: Current Trends and Future Projections.
作者信息
Zaifman Jay M, Megalla Martinus, Grace Zachary, Imam Nareena, Koerner John D, Kohan Eitan, Alberta Francis G
机构信息
NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York City, New York.
Department of Orthopaedic Surgery, Hackensack Meridian Health, Hackensack, New Jersey.
出版信息
Sports Health. 2025 Jan 29:19417381251314078. doi: 10.1177/19417381251314078.
BACKGROUND
The elderly US population is growing quickly and staying active longer. However, there is limited information on sports-related injuries in older adults.
HYPOTHESES
(1) National estimate and incidence of sports-related orthopaedic injuries in the US elderly population have increased over the last 10 years, (2) types and causes of sports-related injuries in the elderly have changed, and (3) elderly sports-related injuries will increase more than the number of treating physicians by 2040.
STUDY DESIGN
Descriptive epidemiology study.
LEVEL OF EVIDENCE
Level 4.
METHODS
The National Electronic Injury Surveillance System database was used to identify all patients aged ≥65 years with sports-related orthopaedic injuries in US emergency departments from 2012 to 2021. Surgeon and physician estimates were calculated using the Physician Compare database. Population data were obtained from US Census estimates and used to calculate annual incidence rates of injuries and to project total injuries through 2040. Injury characteristics were analyzed using Wilcoxon Rank-Sum tests and Chi-square or Fisher exact tests.
RESULTS
An estimated 444,078 sports-related orthopaedic injuries occurred in the elderly from 2012 to 2021. There were significant increases in injuries (from 32,573 in 2012 to 50,909 in 2021; < 0.01) and in the national incidence of injuries (from 78 per 100,000 in 2012 to 91 per 100,000 in 2021; = 0.01). The number of sports-related injuries in the elderly is projected to reach 111,245 by 2040, an increase of 119% from 2021. The number of orthopaedic surgeons and sports medicine physicians is projected to increase by only 19.7% over the same timeperiod.
CONCLUSION
Sports-related orthopaedic injuries in the elderly are increasing in both number and incidence.
CLINICAL RELEVANCE
Orthopaedic surgeons and other practitioners should be prepared to treat an increasing number of active elderly patients.
背景
美国老年人口增长迅速，且保持活跃状态的时间更长。然而，关于老年人运动相关损伤的信息有限。
假设
（1）在过去10年中，美国老年人口中与运动相关的骨科损伤的全国估计数和发病率有所增加；（2）老年人运动相关损伤的类型和原因发生了变化；（3）到2040年，老年人运动相关损伤的增加将超过治疗医生数量的增加。
研究设计
描述性流行病学研究。
证据水平
4级。
方法
利用国家电子伤害监测系统数据库，识别2012年至2021年美国急诊科中所有年龄≥65岁的运动相关骨科损伤患者。使用医师比较数据库计算外科医生和内科医生的估计数。人口数据从美国人口普查估计中获取，并用于计算损伤的年发病率以及预测到2040年的总损伤数。使用Wilcoxon秩和检验以及卡方检验或Fisher精确检验分析损伤特征。
结果
2012年至2021年期间，估计老年人中有444,078例运动相关骨科损伤。损伤数量（从2012年的32,573例增加到2021年的50,909例；<0.01）和全国损伤发病率（从2012年的每10万人78例增加到2021年的每10万人91例；=0.01）均有显著增加。预计到2040年，老年人运动相关损伤的数量将达到111,245例，比2021年增加119%。同期，骨科外科医生和运动医学医生的数量预计仅增加19.7%。
结论
老年人运动相关骨科损伤的数量和发病率都在增加。
临床意义
骨科外科医生和其他从业者应准备好治疗越来越多活跃的老年患者。
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