在骨折后迫在眉的跌倒风险
Merle R Schene1,2,3, Caroline E Wyers1,2,4, Annemariek M H Driessen5,6,7
1Department of Internal Medicine, VieCuri Medical Center, P.O. Box 1926, 5900 BX Venlo, The Netherlands.
Age and ageing
|November 6, 2023
概括
50岁以上最近骨折的成年人面临较高的跌倒风险,特别是在第一年内. 这项研究证实骨折后迫在眉的跌倒风险,强调需要早期评估和预防策略.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 整形外科 整形外科 整形外科
背景情况:
- 最近骨折的成年人具有随后骨折的高风险.
- 假设跌倒风险在骨折后立即最高.
研究的目的:
- 评估最近骨折的受试者与没有骨折的受试者之间的跌倒风险是否取决于时间.
- 评估老年人骨折后的立即和时间依赖的跌倒风险.
主要方法:
- 使用英国临床实践研究数据的回顾性匹配队列研究 Datalink GOLD数据.
- 包括50岁以上骨折的受试者 (1993-2015年),与无骨折的对照进行一对一匹配.
- 计算累计发病率和相对风险 (RR) 的跌倒,死亡率作为竞争风险,分层按年龄,性别和骨折类型.
主要成果:
- 包括624,460名受试者 (312,230例骨折,312,230例对照);71%为女性,平均年龄为70岁.
- 摔倒的相对风险 (RR) 在骨折后的第一年是最高的;男性的风险是3倍,女性的风险是2倍.
- 在所有年龄段和骨折类型中观察到迫在眉的跌倒风险,随着时间的推移而下降,同时存在骨折和死亡风险.
结论:
- 在所有年龄组和骨折类型中,骨折后的几年中存在重大迫在眉的跌倒风险.
- 早期跌倒风险评估和预防策略对于最近经历过骨折的50岁以上成年人至关重要.
- 这些发现强调了骨折后立即出现的脆弱性关键窗口,需要及时干预.
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