INCIDENCE OF FRACTURES IN A GEOGRAPHICALLY DEFINED POPULATION
INCIDENCE OF FRACTURES IN A GEOGRAPHICALLY DEFINED POPULATION
复制标题
DOI：
10.1136/jech.44.3.241
复制
发表时间：
1990-09-01
影响因子：
6.3
通讯作者：
THOMSON, RG
中科院分区：
文献类型：
--
作者：
DONALDSON, LJ;COOK, A;THOMSON, RG
研究目的：目的是描述基于年龄和性别的人群在英国一个大型卫生区不同地点的骨折发生率。设计：在1981年人口普查前后的三年里，骨折的记录是通过专门构建的门诊指数和与医院住院病人信息的记录联系来完成的。环境：骨折指数由英国莱斯特（ENGLAND， UK）社区卫生部门掌握，数据来自中央大区综合医院骨折诊所，并辅以特伦特地区和两个毗邻地区的住院患者数据。参与者：分母人口是莱斯特郡卫生局的常住人口。在三年内，男性有12 711例骨折，女性有10 565例骨折。测量结果和主要结果：骨折的总体估计年发生率为男性每10000人中100例，女性每10000人中81例。55岁以下的所有骨折在男性中发病率较高，但在55岁以上的人群中，男女发病率比例持续下降，有些部位明显以女性为主。结果还显示，与英国早期的数据相比，某些骨折部位的年龄特异性发生率明显增加，但骨折发生率数据仍然表明，英国的骨折发生率低于北美和一些斯堪的纳维亚国家。结论：这些发现提供了一个主要公共卫生问题的基于人群的发病率数据，并且与骨质疏松症和绝经后妇女跌倒增加的主要决定因素一致。骨折发生率的时间和地理差异仍有待解释。
Study objective: The aim was to describe the population based age and sex specific incidence of fractures at different sites in a large English health district. Design: Recording of fractures was accomplished by a specially constructed outpatient index and by record linkage to hospital inpatient information, for the three years surrounding the 1981 census. Setting: The fracture index was held by the Department of Community Health in Leicester (ENGLAND, UK) using data from the fracture clinic at the central large district general hospital, supplemented by hospital inpatient data from Trent Region and the two adjoining regions. Participants: The denominator population was the Leicestershire Health Authority resident population. In the three years, 12 711 fractures amongst males and 10 565 amongst females were recorded. Measurements and main results: The overall estimated annual incidence of fractures was 100 per 10 000 population for males and 81 per 10 000 population for females. Below the age of 55 years all fractures showed a higher incidence amongst males but amongst the over 55s, there was a consistent fall in the male:female incidence ratio with some sites showing striking female preponderance. The results also show an apparent age specific temporal increase in incidence at certain fracture sites compared with earlier British data, but fracture incidence figures still suggest lower rates in this country than in North America and some Scandinavian countries. Conclusions: These findings provide population based incidence data on a major public health problem and are consistent with the major determinants of osteoporosis and increase in falls in postmenopausal women. The temporal and geographical variation in fracture incidence remain to be explained.