Ten years change in post-fracture care for hip fracture patients
Ten years change in post-fracture care for hip fracture patients
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DOI：
10.1007/s00774-019-01047-3
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发表时间：
2019-10-03
影响因子：
3.3
通讯作者：
Shimizu, Tomohiro
中科院分区：
文献类型：
--
作者：
Shimodan, Shun;Sato, Dai;Shimizu, Tomohiro
IntroductionThis多中心，回顾性研究，旨在阐明骨科医生提供的髋部骨折后的术后护理的变化，并澄清继发性骨折的发病率需要surgery.Materials and MethodsSubjects的髋部骨折患者在7家医院手术治疗，在10年期间，从2008年1月至2017年12月。患者的人口统计学，合并症，术前和术后骨质疏松症的治疗，和继发性骨折的数据收集的医疗records.ResultsIn总数，4764新的髋部骨折982名男性和3782名女性（平均年龄：81.310.0岁）被确定。约10%的患者有骨质疏松症药物治疗史，35%的患者接受术后药物治疗。接受术后药物治疗的患者比例在2009年至2010年期间增加了约10%，在2010年至2011年期间增加了10%，在2011年至2013年期间增加了10%。虽然从2011年开始，整个期间和3年内的继发性骨折发生率有所下降，但1年内的继发性骨折发生率仍保持在每年2%左右。结论新的骨质疏松症药物的批准和骨质疏松症联络服务的建立对骨科领域术后药物治疗的使用产生了积极的影响。我们发现，尽管术后药物治疗有所改善，但初次骨折后1年内继发性骨折的发生率每年仍保持在2%左右，这表明预防福尔斯的康复和术后早期药物治疗对预防继发性骨折至关重要。
IntroductionThis multicenter, retrospective study aimed to clarify the changes in postoperative care provided by orthopaedic surgeons after hip fractures and clarify the incidence of secondary fractures requiring surgery.Materials and methodsSubjects were patients with hip fracture treated surgically in seven hospitals during the 10-year period from January 2008 to December 2017. Data on patient demographics, comorbidities, preoperative and postoperative osteoporosis treatments, and secondary fractures were collected from the medical records.ResultsIn total, 4764 new hip fractures in 982 men and 3782 women (mean age: 81.310.0years) were identified. Approximately 10% of patients had a history of osteoporosis drug treatment and 35% of patients received postoperative drug treatment. The proportion of patients receiving postoperative drug therapy increased by approximately 10% between 2009 and 2010, 10% between 2010 and 2011, and 10% between 2011 and 2013. Although the rate of secondary fractures during the entire period and within 3years decreased from 2011, the rate of secondary fracture within 1year remained at around 2% every year.Conclusions p id=Par4 The approval of new osteoporosis drugs and the establishment of osteoporosis liaison services have had a positive effect on the use of postoperative drug therapy in the orthopedic field. Our finding that the rate of secondary fracture within 1year of the initial fracture remained around 2% every year, despite improvements in postoperative drug therapy, suggests that both rehabilitation for preventing falls and early postoperative drug therapy are essential to prevent secondary fractures.