Mortality following hip fracture: Trends and geographical variations over the last 40 years
Mortality following hip fracture: Trends and geographical variations over the last 40 years
复制标题
DOI：
10.1016/j.injury.2008.03.022
复制
发表时间：
2008-10-01
影响因子：
2.5
通讯作者：
Parker, M. J.
中科院分区：
文献类型：
--
作者：
Haleem, S.;Lutchman, L.;Parker, M. J.
髋部骨折是发病率和死亡率不断增加的原因。治疗这种疾病需要采取从预防到术后护理的全方位方法。在这种情况下，重要的是收集髋部骨折的发病率和趋势的数据，以帮助这一重要条件的未来治疗计划。对40年期间（1959-1998）发表的关于髋部骨折后结局的所有文章进行了回顾，以确定这段时间内患者人口统计学和死亡率的任何变化。在研究期间，发现髋部骨折患者的平均年龄以每5年增加1岁的速度稳步增加。1960年代的平均年龄为73岁，1990年代为79岁。多年来，在交配患者的比例方面没有观察到显著差异，但在囊内骨折方面观察到明确的下降趋势。损伤后6个月和12个月的死亡率在回顾的40年中基本保持不变。髋部骨折后的死亡率仍然很高，受伤后6个月为11-23%，1年为22-29%。髋部骨折后的死亡率存在地理差异。需要进行更详细的国际比较，以确定这些结局差异是否由患者人口统计学差异或治疗方法的差异引起。(c)2008爱思唯尔有限公司保留所有权利。
Hip fractures are an ever increasing cause of morbidity and mortality. Treatment of this condition requires an all-encompassing approach from prevention to post-operative care. It is important in such a situation to gather data on the incidence and trends of hip fractures to aid in the future treatment planning of this important condition. A review of all articles published on the outcome after hip fracture over a four decade period (1959-1998) was undertaken to determine any changes that had occurred in the demographics of patients and mortality over this time period. The mean age of patients sustaining hip fractures was found to be steadily increasing over the study period at a rate of 1 year of age for every 5-year time period. The mean age in the 1960s was 73 years to a mean of 79 years in the 1990s. No notable differences were seen in the proportion of mate patients over the years but a definite downward trend was noticed with regard to intracapsular fractures. The mortality at 6 and 12 months after injury remained essentially unchanged over the four decades reviewed. Mortality after a hip fracture remains significant, being 11-23% at 6 months and 22-29% at 1 year from injury. Geographical variations exist in the mortality after hip fracture. More detailed international comparisons are required to determine if these differences in outcome are accounted for by the variations in the demographics of patients or due to diversities in treatment methods. (c) 2008 Elsevier Ltd. All rights reserved.