Hip fracture incidence and mortality in New England.
Hip fracture incidence and mortality in New England.
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DOI：
10.1097/00001648-199103000-00005
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发表时间：
1991-03-01
期刊：
影响因子：
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通讯作者：
Bubolz, T A
中科院分区：
文献类型：
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作者：
Fisher, E S;Baron, J A;Bubolz, T A
我们使用医疗保险数据对新英格兰居民的髋关节骨折发病率和结局进行了一项基于人群的研究。为了减少偏差和提高数据的可靠性，我们结合了多个文件的数据;我们发现，如果我们仅仅依靠医院索赔，6%的病例会被遗漏。髋关节骨折发生率（每1,000人-年）在白色女性中从65-69岁的2.2例增加到90-94岁的31.8例，在白色男性中从65-69岁的0.9例增加到90-94岁的20.8例。在所有年龄/性别组中，黑人的发病率都较低。女性/男性的相对风险在白人中比在黑人中更大。髋部骨折后90天的病死率为12.5%，1年的病死率为23.7%，男性、老年患者、有合并症记录的患者或疗养院居民的病死率较高。
We used Medicare data to conduct a population-based study of osteoporotic hip fracture incidence and outcomes among New England residents. To reduce bias and improve data reliability, we combined data from multiple files; we found that 6% of cases would have been missed had we relied on hospital claims alone. Hip fracture incidence (per 1,000 person-years) increased for white females from 2.2 for ages 65-69 to 31.8 for ages 90-94 and for white males from 0.9 for ages 65-69 to 20.8 for ages 90-94. Incidence among blacks was lower in all age/sex groups. The female/male relative risk was greater among whites than among blacks. Case fatality following hip fracture was 12.5% at 90 days and 23.7% at 1 year and was higher among males, older patients, and those who had documented comorbidity or who were residents of nursing homes.