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老年人关节骨折的预后因素:系统性审查

Khadijeh Kalan Farmanfarma¹, Soudabeh Yarmohammadi¹, Esmaeil Fakharian²

¹Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.

International journal of preventive medicine

|October 9, 2024

概括

老年人骨折与年龄,生活方式和某些疾病有关. 建议针对可修改的风险因素 (如跌倒和慢性疾病) 的早期干预作为预防.

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:

部骨折是老年人残疾的主要原因之一.
在全球范围内已经确定了许多关节骨折的危险因素.
需要进行系统审查,以巩固有关部骨折风险因素的现有证据.

研究的目的:

系统地审查和识别老年人骨折的重大风险因素.
综合了2002年至2022年间进行的研究结果.
为部骨折提供有针对性的预防策略.

主要方法:

2002-2022年英语和波斯语文章的系统审查.
使用关键词搜索主要的国际和波斯数据库:预测因素,关节骨折,残疾.
使用纽卡斯尔-太华尺度评估偏差风险.

主要成果:

确定了重要的危险因素:年龄,吸烟,酒精,感官障碍,低BMI,跌倒,虚弱,中风,心血管疾病,高血压,关节炎,糖尿病,痴呆症,帕金森病,肝脏/脏疾病,低骨密度,骨质疏松症,脊椎骨折,甲状腺功能过高.
没有发现与/维生素D摄入量,先前骨折,认知障碍,精神分裂症或收入的显著相关性.
强调可修改因素对关节骨折风险的重要性.

结论:

几个因素显著增加了老年人部骨折的风险.
诸如摔倒和某些疾病等可改变的因素起着至关重要的作用.
卫生政策应侧重于针对可预防的风险因素的早期干预.

关键词:

预测因素预测因素年长的老人老年人老年人.部骨折骨折部骨折骨折部骨折系统性审查系统性审查

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