老年患者"警告"他们会遭受新的骨折吗?
Samuel Bichara Melin1, Marcela Rodrigues Santos DO Nascimento1, Alfredo Dos Santos2,3
1Santa Casa de Misericordia de São Paulo, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
Acta ortopedica brasileira
|December 20, 2023
概括
骨折的老年人往往有以前的骨折史,但缺乏骨质疏松症的诊断或治疗. 这项研究在这个年龄组中没有发现先前骨折和骨质疏松症管理之间的联系.
科学领域:
- 老年医学 老年医学
- 整形外科 整形外科 整形外科
- 内分泌学 在内分泌学.
背景情况:
- 骨质疏松症显著增加骨折风险,特别是在老年人中.
- 对老年患者的骨折评估应包括对潜在骨脆弱性的评估.
研究的目的:
- 为了确定以前骨折的患病率,骨质疏松症诊断和60岁以上的患者接受骨折护理的治疗.
- 在这个人口群体中调查以前骨折和骨质疏松症管理之间的关联.
主要方法:
- 对100名60岁以上骨折患者的回顾性分析.
- 评估骨折史,骨密度计,骨质疏松症诊断和治疗.
- 使用费舍尔测试来探索关联的统计分析.
主要成果:
- 靠近大腿骨骨折是最常见的 (48%).
- 18%的患者在过去五年内骨折.
- 在那些最近骨折的人中,只有22%的人被诊断为骨质疏松症,22%的人正在接受治疗.
结论:
- 在老年人中,骨质疏松症的诊断和治疗存在显著的差距.
- 在过去五年中,先前的骨折史与该队列的骨质疏松症诊断或治疗无关.
- 这些发现突显了老年患者中二次骨折预防的错失机会.
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