宫和胸脊骨折的流行病学是什么?
Mariah Balmaceno-Criss1, Mary Lou1, Jack J Zhou2
1Department of Orthopaedic Surgery, Warren Alpert School of Medicine of Brown University, West Providence, RI, USA.
Clinical orthopaedics and related research
|July 17, 2024
概括
从2003年到2021年,部和胸部脊椎骨折的发生率显著增加,特别是在50岁以上的人群中. 这一趋势,加上住院人数的增加,表明目前的骨质疏松症查可能不足.
科学领域:
- 流行病学 流行病学
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
背景情况:
- 脊椎骨折会引起严重的疼痛,降低生活质量,增加死亡率.
- 关于宫和胸部骨折流行病学和损伤机制的数据有限.
研究的目的:
- 分析2003-2021年美国宫和胸椎骨折的发生率,患者人口统计和损伤机制的时间趋势.
主要方法:
- 使用国家电子伤害监控系统-所有伤害计划 (NEISS-AIP) 数据库 (2003-2021年).
- 包括9,900例 (加权为638,999名患者) 的宫和胸部骨折.
- 采用细分回归和多变量逻辑回归来分析趋势和预测因素.
主要成果:
- 骨折发生率显著增加,分别从每10,000人/年的2.0/3.6增加到每10,000人/年的14.5/19.9,对于宫/胸部骨折.
- 发病率在所有年龄组都上升,在80岁以上的人群中增幅最大.
- 跌倒是主要的机制,在老年女性中普遍存在家庭伤害,在年轻男性中存在体育伤害.
结论:
- 在50岁以上的人群中,宫和胸部骨折的不成比例增加.
- 高的住院率表明,目前的骨质疏松症查指南可能不足.
- 建议提前对骨质疏松性骨折进行查.
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