脚骨折的发生率,治疗和死亡率:一项基于丹麦人口的队列研究
Per H Gundtoft1, Alma B Pedersen2, Bjarke Viberg3
1Orthopedic Department, Aarhus University Hospital; Department of Orthopedic Surgery, Kolding Hospital, Denmark. pergun@rm.dk.
Acta orthopaedica
|March 3, 2025
概括
在1997年至2018年期间,脚骨折的发生率上升,特别是在女性和老年人中. 手术治疗率也增加,老年患者骨骨折的死亡率更高.
科学领域:
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 脚骨折的发生率显示出显著的变化.
- 全国数据对于了解当前的脚骨折趋势至关重要.
研究的目的:
- 为了分析20年内脚骨折发病率的趋势.
- 为了调查脚骨折治疗模式的变化.
- 评估与脚骨折相关的死亡率.
主要方法:
- 使用丹麦国家患者登记册查找脚骨折数据 (18岁以上的患者).
- 雇员验证的诊断和外科手术程序代码.
- 每10万人/年计算的发病率和发病率比率 (IRR) 与95%置信区间 (CI).
主要成果:
- 从1997年到2018年,确定了155,740个脚骨折.
- 总体发病率为每10万人/年164人,在2007-2018年增加到173人 (IRR为1.12).
- 在女性 (IRR 1.21) 和50岁以上的人群 (IRR 1.22) 中,发病率显著上升. 手术治疗从21%增加到25%.
- 与一般人群相比,65岁以上的脚骨折患者的1年死亡风险是65岁以上的患者的1.47倍.
结论:
- 从1997年到2018年,关节骨折的发生率增加了,主要是女性和老年人.
- 手术治疗的比例从21%上升到26%.
- 在65岁以上的脚骨折患者中,观察到过度死亡率.
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