骨质疏松性骨折的老年人中骨折和死亡风险:Ages-雷克雅未克研究
Anitha D Praveen1, Thor Aspelund2,3, Stephen J Ferguson4,5
1Campus for Research Excellence and Technological Enterprise (CREATE), Future Health Technologies, Singapore-ETH Centre, Singapore, Singapore. anitha.dpraveen@sec.ethz.ch.
概括
老年人面临高折断风险,折断后长达六年. 有针对性的监测至关重要,特别是对于部/脊椎骨折的男性和年轻女性来说,以减少死亡率和折断率.
科学领域:
- 老年学是一门学科.
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
背景情况:
- 骨质疏松性骨折的治疗往往忽视了折断的风险,主要关注骨矿物质密度.
- 目前的方法可能会导致高风险的老年人的评估和干预不足.
研究的目的:
- 调查老年人的骨折进展到折裂和相关死亡率.
- 利用多州模型来更好地识别高风险个体.
主要方法:
- 使用AGES-雷克雅未克队列数据进行的前性观察研究.
- 应用多态模型来分析骨折演变,折断和死亡率.
- 根据预后因素估计未来事件的概率.
主要成果:
- 在80岁以上的老年男性和女性中,折断风险在2-6年内是迫在眉的,然后下降.
- 75岁以下的老年女性在长达10年的时间内表现出持续升高的折射风险.
- 部和脊椎骨折对男女来说是5年死亡风险最高的;下腿骨折对80岁以上的男性也很重要.
结论:
- 在骨折后的前六年内,折断风险显著升级.
- 年轻的老年妇女需要密切监测,因为长期的高折断风险.
- 对于患有部和脊椎骨折的老年男性来说,优先监测和治疗是必不可少的,因为死亡风险很高.
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