在医疗保险受益者的白内障手术后发生骨折的风险
Victoria L Tseng1, Fei Yu, Flora Lum
1Division of Ophthalmology, Warren Alpert Medical School of Brown University, Providence, Rhode Island , USA.
JAMA
|August 2, 2012
概括
白内障手术可以降低老年人部骨折的风险. 这项研究发现,接受白内障手术的医疗保险受益者在手术后一年内部骨折的几率较低.
科学领域:
- 眼科医生 眼科 眼科
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 视力受损是骨折的一个已知的危险因素.
- 白内障手术和骨折风险之间的关联尚未得到充分理解.
研究的目的:
- 调查白内障手术与随后的骨折风险之间的联系.
- 专注于被诊断患有白内障的美国医疗保险受益人.
主要方法:
- 对5%的Medicare B部分受益者 (2002-2009) 随机抽样进行了回顾性分析.
- 在接受或未接受白内障手术的患者中检查了1年的部骨折发生率.
- 根据各种人口统计,并发病和白内障相关因素进行调整,使用后勤回归.
主要成果:
- 分析了超过110万患有白内障的受益人;36.9%接受了手术.
- 一年内,1.3%的人患有持续的部骨折.
- 白内障手术与部骨折几率减少16%有关 (OR=0.84).
- 在患有严重白内障,年龄较大和并发症得分较高的患者中,减少的几率更为明显.
结论:
- 患有白内障的医疗保险受益者 (65岁以上) 的白内障手术与在一年内发生关节骨折的几率较低有关.
- 这一发现表明白内障手术对骨折的潜在保护作用.
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