中西部上部卫生系统中的骨健康:2008-2015年
Ana M Fernandez1, Claudia C Ramjattan2, Colleen M Renier2
1Essentia Health - St. Mary's Duluth Clinic, 400 E 3rd St, Duluth, MN, 55805, USA.
International journal of orthopaedic and trauma nursing
|December 18, 2025
概括
这项研究发现,许多患有骨质疏松症或骨质疏松症的患者治疗不足. 早期DXA扫描和在低冲击性关节骨折后及时开始药物治疗显著降低了死亡风险.
科学领域:
- 骨健康和骨质疏松症研究
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 骨质疏松症,骨质疏松症和低冲击骨折显著影响发病率和死亡率.
- 这项研究调查了美国患者的骨密度状况和骨折结果.
研究的目的:
- 在接受DXA扫描的患者中探索骨质疏松症和骨质疏松症的患病率.
- 分析患有低冲击性关节骨折 (LIHF) 的患者,以改善治疗和预防二次骨折.
主要方法:
- 使用程序数据库,创伤登记册和EHR数据进行回顾性观察性研究.
- 对DXA扫描队列 (≥50岁) 和LIHF队列 (≥65岁) 的分析.
- 使用了描述性统计,GEE和生存分析.
主要成果:
- 在DXA扫描患者中,21.3%患有骨质疏松症,33.9%患有骨质疏松症.
- 只有46.3%的骨质疏松症患者和12.8%的LIHF患者在六个月内接受了药物治疗.
- 在LIHF后的一年死亡率为29.6%;DXA扫描患者的死亡率较低.
结论:
- 加强对高风险LIHF患者的识别和治疗,包括那些没有先前DXA扫描的患者.
- 通过协作护理和LIHF后及时开始药物治疗来改善骨健康管理.
更多相关视频
06:59Author Spotlight: An Economic and Efficient Method for Quantitative Evaluation of Bone Microarchitecture in a Murine Osteoporosis Model
Published on: September 8, 2023
3.3K
09:02Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population
Published on: January 31, 2025
1.4K
相关概念视频
Bone Disorders
5.0K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.0K
Osteoclasts in Bone Remodeling
3.8K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.8K
Changes in the Appendicular Skeleton with Age
3.3K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
3.3K
Bone Remodeling
40.2K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
40.2K
Essential Minerals for Bone Health
5.9K
The minerals contained in all of the food we consume are essential for our organ systems. However, certain essential minerals, such as calcium, phosphorus, magnesium, manganese, and fluoride, largely affect bone health.
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...
5.9K
Role of Vitamins in Maintaining Bone Health
5.0K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
5.0K
