百岁以上的人患有近腰骨骨折
Jeanette Koeppe1,2, Julia Sußiek3, J Christoph Katthagen4,3
1Institute of Biostatistics and Clinical Research, University of Muenster, Schmeddingstrasse 56, Muenster, 48149, Germany. jeanette.koeppe@ukmuenster.de.
BMC geriatrics
|December 1, 2025
概括
百岁以上的人近腰骨折 (PHF) 在女性中很常见,并且经常进行非手术治疗. 死亡率很高,近60%的人在骨折后的一年内死亡.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 流行病学 流行病学
背景情况:
- 德国人口老龄化增加了百岁老人的数量.
- 在这个年龄段,近腰骨折 (PHF) 的研究不足.
- 这项研究调查了德国百岁老人的PHF流行病学,治疗和结果.
研究的目的:
- 评估德国100岁及以上患者近腰骨折 (PHF) 的流行病学.
- 分析百岁老人PHF的治疗模式和结果.
- 将PHF百岁老人的结果与年轻的老年人群进行比较.
主要方法:
- 从BARMER医疗保险 (2011-2022) 索赔数据的回顾性分析.
- 包括65岁以上的PHF诊断患者;与65-99岁年龄组相比,百岁以上 (100+) 的患者.
- 主要终点:整体存活率,主要不良事件 (MAE) 和血栓栓塞事件.
主要成果:
- 确定了100482名PHF患者,230人是百岁以上的人 (≥100岁).
- 百岁老人主要是女性,有更多的并发病,但生活方式风险较少.
- 在百岁以上的人群中,手术治疗不太常见,一年死亡率为59.2%.
结论:
- 患有PHF的百岁老人通常是女性,非手术治疗最常见.
- 手术治疗显示出低并发症率,尽管整体死亡率高 (在一年内近60%).
- 百岁老人中PHF和死亡率之间的直接关系需要进一步研究.
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