距离半径骨折的流行病学:日本的一项基于人口的区域研究
Jiro Ando1, Tsuneari Takahashi2, Ryusuke Ae3
1Department of Orthopedics, School of Medicine, Jichi Medical University, Yakushiji 3311-1, Shimotsuke, Tochigi, 329-0498, Japan.
BMC musculoskeletal disorders
|June 13, 2023
概括
距离半径骨折 (DRF) 很常见,特别是在老年人群中. 虽然原始发病率很高,但日本女性的年龄调整率呈现下降趋势,这表明预防措施的潜在有效性.
科学领域:
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 远半径骨折 (DRF) 是一个重要的全球健康问题,特别是在老龄化社会.
- 由于DRF的高患病率,迫切需要有效的预防策略.
- 在日本,DRF的流行病学数据有限,需要进行本地化研究.
研究的目的:
- 调查日本所有年龄段的远半径骨折 (DRF) 的流行病学特征.
- 分析DRF发病率的趋势,并确定特定的风险因素和人口结构模式.
主要方法:
- 在日本北海道的一家医院使用2011-2020年的数据进行了一项描述性流行病学研究.
- 计算了原始和年龄调整的年度发病率,特定年龄的发病率,并分析了受伤特征.
- 检查骨折后1年和5年的死亡率.
主要成果:
- 确定了258例DRF病例,73.6%是女性,平均年龄为67.0岁.
- 年龄特定的发病率在年轻男性 (10-14岁) 和老年女性 (75-79岁) 中达到顶峰.
- 简单的跌倒是成年人最常见的原因,而体育伤害则影响了年轻人;经年龄调整后的女性发病率出现下降趋势.
结论:
- 这些发现与全球DRF趋势一致,突显了人口老龄化对原油发病率的影响.
- 从2011年到2020年,在日本的女性患者中观察到年龄调整后每年DRF发病率的显著下降趋势.
- 这项研究强调了持续的流行病学监测和针对偏远半径骨折的有针对性的预防措施的重要性.
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