西班牙裔老年人的部骨折模式:风险因素和影响
Nikhil Mathur1, John Knight1, Monica Betancourt-Garcia1
1Trauma Research, Doctors Hospital at Renaissance Health System, Institute for Research and Development, Edinburg, USA.
Cureus
|March 17, 2025
概括
老年西班牙裔成年人的部骨折与因年龄,并发症和种族而导致的囊外骨折风险有关. 针对性预防和文化定制的护理对这一群体至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 关节骨折是美国老年人患病和死亡的一个重要原因,通常是跌倒造成的.
- 里约格兰德山谷 (RGV) 患有糖尿病和肥胖等慢性疾病的患病率很高,特别是在西班牙裔人口中.
- 了解这个特定的人群中的骨折模式对于开发有效的预防和治疗策略至关重要.
研究的目的:
- 为了检查 predominantly西班牙裔老年人队伍中的关节骨折.
- 调查糖尿病和肥胖对关节骨折类型和结果的影响.
- 在这个人群中为部骨折提供有针对性的预防和治疗策略.
主要方法:
- 在1级创伤中心,对412名关节骨折患者 (≥65岁) 的回顾性队列研究.
- 骨折分为内或外骨折;治疗包括关节整形术,骨质合成或保守管理.
- 结果指标:一年死亡率,停留时间,再入院和并发症 (如DVT,PE,SSI);进行统计分析.
主要成果:
- 西班牙裔种族,年龄较大和BMI较低与外囊骨折有关.
- 非手术管理与更高的一年死亡率相关 (20.7%);手术延迟>48小时增加了住院时间.
- 一年死亡率为5.6%;预测因素包括老年,COPD,肝硬化,长时间固定和糖尿病,这也增加了并发症率.
结论:
- 衰老,并发性疾病和西班牙裔种族增加了外囊关节骨折的风险;更高的BMI预测了内囊骨折.
- 观察到的一年死亡率为5.6%,表明尽管存在风险因素,但生存的"西班牙裔悖论".
- 有针对性的干预措施,包括预防跌倒,骨健康教育和文化定制的医疗保健,对于这种高风险人群至关重要.
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