由于跌倒而导致的部骨折的流行病学
Irena Ilic1, Branko Ristic2,3, Ivan Stojadinovic2,4
1Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Medicina (Kaunas, Lithuania)
|September 28, 2023
概括
跌倒造成的部骨折在中欧是一个重大的健康问题. 虽然发病率和残疾率有所下降,特别是在女性中,但持续的预防工作至关重要.
科学领域:
- 流行病学 流行病学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 由于跌倒而造成的部骨折在中欧构成了相当大的公共卫生负担.
- 在该地区,有关关节骨折的流行病学数据有限.
- 了解区域和国家趋势对于有针对性的干预至关重要.
研究的目的:
- 评估1990年至2019年中欧地区因跌倒而导致的关节骨折的流行病学趋势.
- 分析与跌倒相关的关节骨折的发病率和残疾寿命 (YLDs).
- 确定中欧地区的区域差异和国家模式.
主要方法:
- 利用了2019年全球疾病负担 (GBD) 研究数据.
- 采用描述性流行病学方法来分析发病率和YLDs.
- 应用结点回归分析来确定年均百分比变化 (AAPC) 和95%置信区间 (95%CI).
主要成果:
- 2019年,跌倒占整体男性关节骨折的3.9%,女性关节骨折的7.0%,在70岁以上的人群中占16.9% (男性) 和20.0% (女性).
- 在2019年,中欧发生了大约40万新的与跌倒相关的关节骨折,导致55,000个YLDs.
- 从1990年到2019年,年龄标准化的发病率在女性中下降 (AAPC = -1.1%) 但在男性中增加 (AAPC = 0.1%);YLD的发病率在两性中都下降.
结论:
- 与跌倒相关的关节骨折仍然是中欧重要的健康问题.
- 虽然发病率和YLDs最近出现了下降,特别是在女性中,但负担仍然很大.
- 持续的公共卫生倡议是必要的,以进一步减轻与跌倒相关的关节骨折的影响.
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