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手腕骨折的20年全国性下降:解开趋势和持续的挑战
Peter V Dinh1, Timothy A Reiad2, Emilio Peveri2
1Department of Orthopaedics, Brown Alpert Medical School, Providence, RI, United States; University Orthopedics, East Providence, RI 02914, United States.
从2004年到2023年,手腕骨折的总体发生率显著下降了22.7%,从2004年到2023年. 年轻的男性体验体育运动的高率,而年长的女性面临跌倒的风险,强调了有针对性的预防的必要性.
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:
- 手腕骨折是常见的上肢损伤,带来了大量的医疗保健费用.
- 关于全国手腕骨折趋势的长期流行病学数据有限.
研究的目的:
- 分析2004年至2023年间手腕骨折发生率和人口统计数据的国家趋势.
- 为了确定运动和非运动手腕骨折的原因和差异.
主要方法:
- 追溯分析国家电子伤害监控系统 (NEISS) 数据.
- 利用加权抽样,回归模型和千平方测试进行发病率和人口统计分析.
主要成果:
- 从2004年 (78.04/100,000) 到2023年 (60.27/100,000) 观察到的手腕骨折发生率下降了22.7%.
- 5-14岁的男性体育运动的发病率最高 (238.2/100,000);65岁或以上的女性因跌倒而有更高的非运动骨折风险.
- 几乎一半的骨折与运动有关,男性患骨折的可能性是男性的三倍.
结论:
- 在过去二十年中,手腕骨折总体发生率显著下降.
- 强调需要有针对性的预防:改善青少年体育安全和预防老年人跌倒.
- 强调继续研究有效的预防和治疗策略.
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