Paspati I, Galanos A, Lyritis G P
Laboratory for the Research of Musculoskeletal System "Th. Garofalidis," Kifissia, Greece.
Calcif Tissue Int. 1998 Jun;62(6):542-7. doi: 10.1007/s002239900476.
Hip fracture, the most dramatic complication of osteoporosis, constitutes a serious health problem of the elderly, with great socioeconomic consequences. Hip fracture epidemiology has been studied by many investigators. Until now, reported studies in Greece include either data from only one region, or they do not include all the epidemiological parameters concerning hip fractures. We studied hip fractures that occurred in Greece in 1992 and compared the findings with those of previous years (1977, 1982, 1987), in order to identify age and sex incidence and increase rate during 1977-1992. There has been an average annual increase of 7.6%, thus total hip fractures in Greece increased from 5,100 in 1977 (54.75 fractures/100,000 inhabitants) to 10,953 in 1992 (107.30 fractures/100,000 inhabitants). In 1992, 70% of the patients were women. During the 1977-1992 period, age-adjusted incidence for people aged over 50 increased in both sexes (from 173.54 fractures/100,000 inhabitants in 1977 to 314.07 fractures/100,000 inhabitants in 1992, an increase of age-adjusted incidence of 80. 97%). Approximately 50% of the patients in 1992 were aged 80 and over, whereas in 1977 there were only 22.49% patients of the same age. The increase in hip fracture numbers is greater than expected due to population aging, suggesting the existence of other factors influencing this increase. The most affected age group is 80 and over.
髋部骨折是骨质疏松症最严重的并发症，是老年人面临的一个严重健康问题，会产生重大的社会经济后果。许多研究人员对髋部骨折的流行病学进行了研究。到目前为止，希腊已报道的研究要么只包含来自一个地区的数据，要么没有涵盖与髋部骨折相关的所有流行病学参数。我们研究了1992年在希腊发生的髋部骨折，并将研究结果与前几年（1977年、1982年、1987年）的结果进行比较，以确定1977 - 1992年期间的年龄和性别发病率及增长率。年平均增长率为7.6%，因此希腊的髋部骨折总数从1977年的5100例（每10万居民中有54.75例骨折）增加到1992年的10953例（每10万居民中有107.30例骨折）。1992年，70%的患者为女性。在1977 - 1992年期间，50岁以上人群的年龄调整发病率在两性中均有所上升（从1977年的每10万居民中有173.54例骨折增至1992年的每10万居民中有314.07例骨折，年龄调整发病率增加了80.97%）。1992年约50%的患者年龄在80岁及以上，而1977年同年龄段患者仅占22.49%。由于人口老龄化，髋部骨折数量的增加幅度大于预期，这表明存在其他影响这一增长的因素。受影响最严重的年龄组是80岁及以上。
