骨折发生率2017-2021年:我们从COVID-19大流行中学到什么?
Ulrich Niemöller1, Christian Tanislav1, Karel Kostev2,3
1Department of Geriatrics and Neurology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.
Healthcare (Basel, Switzerland)
|October 28, 2023
概括
由于活动减少,COVID-19流行病减少了年轻人骨折的发生率,但在老年人中增加了,可能是由于支持减少. 这项研究分析了2017-2021年间的骨折率.
科学领域:
- 整形外科和创伤学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 骨折发病率是一个重要的公共卫生问题,受到各种人口和社会因素的影响.
- 在全球范围内,COVID-19大流行引入了前所未有的生活方式和医疗保健准入的变化.
- 了解大流行对骨折率的影响对于公共卫生规划和老年护理至关重要.
研究的目的:
- 评估德国骨折的长期发病率.
- 具体评估COVID-19流行期间 (2017-2021) 骨折发生率的变化.
主要方法:
- 一个回顾性队列研究,利用来自疾病分析数据库 (IQVIA) 的匿名数据.
- 在2017年至2021年期间,包括来自德国941家全科医院的初始骨折诊断患者.
- 在研究期间,对不同年龄组和性别的骨折发病率趋势的分析.
主要成果:
- 总共有196,211名患者被纳入,诊断人数最多是在2019年,最少是在2020年.
- 2019年至2020年,骨折发生率在较年轻的年龄组 (16-60岁) 显著下降,特别是在四肢和肋骨.
- 相反,80岁以上的个体中骨折发生率增加,特别是上下四肢和股骨骨折.
结论:
- COVID-19大流行与年轻人群中骨折的减少相关,可能是由于体力和娱乐活动减少.
- 在大流行期间,老年人群中观察到骨折发生率增加,这可能与社会支持减少和脆弱性增加有关.
- 这些发现突出了与流行病相关的生活方式变化对跨年龄人口结构中骨折风险的差异影响.
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