Differences in proximal humerus and wrist fracture incidence among US Asian subgroups.
Differences in proximal humerus and wrist fracture incidence among US Asian subgroups.
复制标题
美国亚裔亚群之间肱骨近端和腕部骨折发生率的差异。
DOI：
10.1111/jgs.18408
复制
发表时间：
2023
影响因子：
6.3
通讯作者：
Lee,Catherine
中科院分区：
文献类型：
--
作者：
Lo,JoanC;Lee,DavidR;Chandra,Malini;Zeltser,DavidW;Chu,ClarenceE;Gordon,NancyP;Darbinian,JeanneA;Lee,Catherine
方法对2000年1月1日至2019年12月31日年龄≥50岁的403,687名亚洲/PI和1,473,885名NHW成年人进行随访，随访至2021年12月31日，闭合性肱骨近端骨折1例（ICD-9 812.0, ICD-10 S42）。2xxA)和闭合/开放桡骨远端或尺骨（腕）骨折（ICD-9 813.4-5; ICD-10 S52）。5-6xxA/B/C)从医院、急诊、急诊和外科/骨科就诊中确定，不包括高能创伤（ICD-9 E800-48, ICD-10 V00-99）。一小部分仅通过单一（二级）医院、急诊或紧急护理/手术/骨科门诊骨折诊断而不被另一次就诊诊断、外科手术、骨折后护理、夹板/铸造或虚拟护理确定的患者被排除在外（7.2%的肱骨骨折和5.5%的腕关节骨折）。受试者在骨折结局或随访结束前为每个5年年龄层贡献的人数，并使用log-Poisson回归估计5年年龄组和日历年调整的骨折irr。该研究由KPNC机构审查委员会批准，并放弃知情同意。结果在215,359名亚洲/PI女性和776,839名NHW女性中，肱骨近端骨折分别为1375例和18700例，腕部骨折分别为3027例和26,885例。在188,328名亚洲/PI和697,046名NHW男性中，肱骨近端骨折分别为378例和5098例，腕部骨折分别为901例和6436例。在女性和男性中，肱骨近端骨折的发生率分别为54.4%和56.8%，腕部骨折的发生率分别为64.4%和75.1%，发生在年龄< 75岁。
METHODSAmong 403,687 Asian/PI and 1,473,885 NHW adults aged≥ 50 years in 1/1/2000-12/31/2019, followed up to 12/31/2021, 1 closed proximal humerus fractures (ICD-9 812.0, ICD-10 S42. 2xxA) and closed/open distal radius or ulna (wrist) fractures (ICD-9 813.4-5; ICD-10 S52. 5-6xxA/B/C) were ascertained from hospital, emergency, urgent care, and surgery/orthopedic encounters, excluding high-energy trauma (ICD-9 E800-48, ICD-10 V00-99). A small subset identified only by single (secondary) hospital, emergency, or urgent care/surgery/orthopedic outpatient fracture diagnosis not supported by another encounter diagnosis, surgical procedure, fracture aftercare, splint/casting, or virtual care were excluded (7.2% of humerus and 5.5% of wrist fractures). Subjects contributed person-time to each 5-year age strata until fracture outcome or end of follow-up, and fracture IRRs adjusted for 5-year age group and calendar year were estimated using log-Poisson regression. 1 The study was approved by the KPNC Institutional Review Board with waiver of informed consent.RESULTSAmong 215,359 Asian/PI and 776,839 NHW women, there were 1375 and 18,700 proximal humerus and 3027 and 26,885 wrist fractures, respectively. Among 188,328 Asian/PI and 697,046 NHW men, there were 378 and 5,098 proximal humerus and 901 and 6436 wrist fractures, respectively. For women and men, respectively, 54.4% and 56.8% of proximal humerus fractures and 64.4% and 75.1% of wrist fractures occurred at age< 75 years.