Fractures after nursing home admission: incidence and potential consequences
Fractures after nursing home admission: incidence and potential consequences
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DOI：
10.1007/s00198-009-0852-y
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发表时间：
2009-10-01
影响因子：
4
通讯作者：
Becker, C.
中科院分区：
文献类型：
--
作者：
Rapp, K.;Lamb, S. E.;Becker, C.
对新入住养老院的居民进行骨折率检查。骨折的风险在入院后的头几个月最高，此后逐渐降低。这种风险模式与骨折部位、性别或护理需要程度无关。疗养院的居民是骨折的高危人群。该研究的目的是分析骨折率与入院时间的关系。在2001年至2006年期间，巴伐利亚州的93,424名65岁及以上的女性和男性新入住的养老院，测量了上肢、股骨、骨盆和小腿的骨折、首次和随后骨折的时间、年龄、性别和入院时的护理需求。骨折发生率在入住养老院后的头几个月最高，此后逐渐下降。这一模式在所有骨折部位，女性和男性，以及有不同护理需求的居民中都被观察到。例如，在入院后的前9个月，上肢骨折率从30.0下降到13.5/ 1000人年，同期所有骨折部位的骨折率从135.3下降到69.4/ 1000人年。新入院的住院医生骨折的风险最高。所有骨折的风险模式都是相似的，这表明有一个通用的因果途径。实施有效的骨折预防措施应该是入住养老院时的优先事项。
Fracture rates were examined in residents newly admitted to nursing homes. The risk of a fracture was highest during the first months after admission and declined thereafter. This risk pattern was observed independently of fracture site, gender or degree of care need.Residents of nursing homes are a high-risk group for fractures. The aim of the study was to analyse fracture rates as a function of time from admission to nursing home.Fractures of the upper limb, femur, pelvis and lower leg, time to first and subsequent fractures, age, gender and care needs at admission were measured in 93,424 women and men aged 65 years and over and newly admitted to nursing homes in Bavaria between 2001 and 2006.Fracture incidence was highest during the first months after admission to nursing homes and declined thereafter. This pattern was observed for all fracture sites, in women and men and in residents with different care needs. For example, fracture rates of the upper limb declined from 30.0 to 13.5/1,000 person-years in the first 9 months after admission and for all fracture sites from 135.3 to 69.4/1,000 person-years in a corresponding time period.Newly admitted residents have the highest fracture risk. The pattern of risk is similar across all fractures, suggesting a generic causal pathway. Implementation of effective fracture prevention efforts should be a priority at the time of admission to nursing homes.