老年男性中脆弱性骨折的增加风险
A R Agarwal1,2, O Tarawneh3, J S Cohen4
1Department of Orthopaedic Surgery, George Washington University School of Medicine and, Health Sciences, Washington, DC, USA. amil_agarwal@gwmail.gwu.edu.
概括
在没有先前骨质疏松症的男性中,脆弱性骨折 (FFx) 的风险在70岁后显著增加. 这一发现可以为基于年龄的查策略提供信息,以减少骨折相关的并发症.
科学领域:
- 老年学是一门学科.
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 骨质疏松症查指南主要针对女性,缺乏针对男性的具体建议.
- 脆弱性骨折 (FFx) 构成重大健康风险,需要研究男性最佳查策略.
研究的目的:
- 确定FFx风险在男性中开始增加的年龄.
- 为男性制定特定年龄的骨质疏松症查建议提供数据.
主要方法:
- 来自PearlDiver患者记录数据库的49岁以上男性的分析,不包括以前有FFx或骨质疏松风险高的人.
- 使用分层特异性概率比率 (SSLR) 进行分层分析,以确定增加FFx风险的年龄组.
- 多变量逻辑回归用于评估确定年龄层的FFx风险,控制混因素.
主要成果:
- 在男性中,FFx的发病率在64岁后显著增加.
- 与50-64岁组相比,从70-72岁年龄组开始观察到FFx风险的显著增量增加 (RR, 1.31).
- 在81岁及以上的男性中,FFx的风险最高 (RR,5.35).
结论:
- 在没有骨质疏松病史的男性中,FFx风险在70岁后显著升级.
- 这些发现支持进一步研究的必要性,以确定一个最佳的年龄开始在男性的常规骨健康查.
- 实施特定年龄查可能有助于减轻与男性脆弱性骨折相关的发病率和死亡率.
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