波兰二十多年的部骨折发生率:HiPoL研究
Wilk Robert1, Adamczyk Piotr2, Skrzypek Michał3
1Municipal Hospital, Department of Orthopedic and Trauma Surgery, Sosnowiec, Poland.
概括
波兰50岁以上的成年人中部骨折的发生率显著增加,预测表明趋势会恶化. 脆弱性骨折的增加需要紧急关注公共卫生.
科学领域:
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 以前的报道表明,研究区域部骨折发生率上升.
- 这项研究提供了连续20年的部骨折发病率观察.
研究的目的:
- 在20年内持续观察部骨折发生率.
- 预测未来30年的部骨折发生率.
主要方法:
- 从2002年到2021年,对50岁以上患者的医疗记录进行分析.
- 纳入标准:ICD-10代码S72.0,S72.1,S72.2 (脆弱性骨折). 这种骨折可能会导致骨折.
- 研究区域:塔尔诺夫斯基戈里地区和皮卡里斯拉斯基亚市.
主要成果:
- 登记了2,723个部骨折,其中72%为女性.
- 观察到连续增加的发病率,即使在COVID-19大流行期间.
- 发病率比率上升至1.41;2021年的发病率为230.2 (总),151.3 (男性),294.2 (女性).
结论:
- 50岁以上的波兰男性和女性的脆弱性关节骨折增加了.
- 流行病学情况正在恶化.
- 骨科病床减少和人口老龄化加剧了这个问题.
相关概念视频
Bone Remodeling
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...


