71,920名老年患者的近端关节骨折:从一个回顾性观察性研究中发现的发病率,流行病学,死亡率和成本
Marco Viganò1, Federico Pennestrì2, Elisabetta Listorti3
1IRCCS Istituto Ortopedico Galeazzi, Via Cristina Belgioioso 173, Milan, 20157, Italy.
BMC public health
|October 10, 2023
概括
老年人部骨折正在增加,但由于有针对性的预防,年龄调整后的发病率正在下降. 在48小时内进行早期手术和高人数的医院可以提高生存率,并降低近端股骨骨折的成本.
科学领域:
- 老年学是一门学科.
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 靠近大腿骨骨折对老年人口造成重大健康负担,导致发病率,残疾,死亡率和社会经济成本增加.
- 了解这些骨折的流行病学和影响因素对于有效的医疗保健管理至关重要.
研究的目的:
- 调查伦巴第地区老年人近腰骨折的流行病学和发病率.
- 确定影响这些骨折的生存率和住院费用的因素.
主要方法:
- 对伦巴第地区 (2011-2016) 骨骨折的住院和外院治疗的匿名数据集的分析.
- 利用描述性统计,生存分析,考克斯回归和多个线性模型进行统计评估.
主要成果:
- 在2011-2016年期间,超过71,920名老年人经历了股骨骨折,女性的患病率更高 (76.3%).
- 在48小时内进行手术显著降低了24个月死亡风险. 大量的医院和早期干预与更低的成本相关.
- 胸腔骨折比宫骨折更常见;与单独的关节整形相比,联合手术增加了死亡风险.
结论:
- 尽管年龄调整后发病率下降,但近腰骨折的总数正在增加,这可能是由于针对老年人群的预防.
- 在大量医院集中治疗,坚持48小时的手术窗口是有益的临床和财务政策.
关键词:
年长的老人.医疗保健政策 医疗保健政策伦巴第 (Lombardy) 是一个伦巴第 (Lombardy) 地区.死亡率 死亡率 死亡率骨质疏松症是一种骨质疏松症.预防 预防 预防靠近大腿骨骨折 靠近大腿骨骨折健康的社会决定因素基于价值的护理是基于价值的护理.更多相关视频
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