异常长寿的患者在关节骨折后应该接受骨质疏松症治疗吗?
Montserrat Barceló1,2, Jordi Casademont2,3, Jordi Mascaró1,2
1Internal Medicine Department, Geriatric Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Age and ageing
|June 20, 2024
概括
在95岁以上的患者中,部骨折后很少出现新的脆弱性骨折. 骨折后的骨质疏松症治疗决策应该是个性化的,考虑生存因素,如性别和流动性.
科学领域:
- 老年医学 老年医学
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 有限的研究存在于骨质疏松症治疗异常长寿的患者骨折后骨质疏松症.
- 老年人骨折对长期护理和管理提出了独特的挑战.
研究的目的:
- 评估95岁及以上患者骨骨折后开始骨质疏松症治疗的必要性.
- 分析这个队列中新脆弱性骨折的发生率,死亡风险因素和长期存活率.
主要方法:
- 对175名95岁以上的患者进行了回顾性审查,这些患者因脆弱性关节骨折而入院.
- 分析包括骨折前的行走,出院后的新脆弱性骨折以及使用考克斯回归和卡普兰-梅尔生存分析的死亡风险因素.
主要成果:
- 平均存活时间为1.32年;男性性别和较差的骨折前行走预测死亡率.
- 只有5.7%的患者在出院后出现了新的脆弱性骨折,其中一半发生在前六个月内.
结论:
- 随后骨折的发病率低,表明骨质疏松症治疗后部骨折在这个年龄组需要个性化考虑.
- 女性性别和更好的骨折前移动性等因素表明长期存活的可能性更高,影响治疗决策.
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