Differential impact of some risk factors on trochanteric and cervical hip fractures
Differential impact of some risk factors on trochanteric and cervical hip fractures
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DOI：
10.1111/ggi.12294
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发表时间：
2015-04-01
影响因子：
3.3
通讯作者：
Guller, Vladimir
中科院分区：
文献类型：
--
作者：
Tal, Sari;Gurevich, Alexander;Guller, Vladimir
目的探讨股骨转子颈髋部骨折的潜在危险因素。方法2006-2011年骨科收治的65岁及以上老年髋部骨折患者（n=1161）。从患者电子病历中检索人口统计学和临床数据以及常规血液检查。结果大约 58% 的患者患有转子骨折，42% 的患者患有颈椎骨折。女性比男性更容易发生转子骨折（P=0.002）。女性、虚弱、跌倒、糖尿病、血钙低于正常以及血红蛋白水平低于正常是股骨粗隆骨折的显着危险因素（OR 1.39，P=0.0202，OR 1.36，P=0.0166，OR 1.49，P=0.0015，OR 1.33，P=0.0343，OR 0.68，分别为 P=0.0054、OR 0.70、P=0.0036）。帕金森病患者发生股骨粗隆骨折的风险较低（OR 0.6，P=0.007）。结论由于股骨转子骨折和颈椎髋部骨折的危险因素存在一定差异，因此需要进一步研究，以了解骨折的病因并能够开展有效的预防工作。老年老年国际 2015； 15：443-448。
AimTo investigate the potential distinct risk factors associated with trochanteric and cervical hip fractures.MethodsElderly patients aged 65 years and older (n=1161) were admitted to the orthopedic department with hip fractures during the years 2006-2011. Demographic and clinical data, as well as routine blood tests, were retrieved from the patient electronic medical records.ResultsApproximately 58% of patients had trochanteric fractures and 42% had cervical fractures. Women were more likely to have trochanteric fractures than men (P=0.002). Female sex, frailty, falls, diabetes and subnormal calcium, as well as subnormal hemoglobin levels, were significant risk factors for trochanteric fractures (OR 1.39, P=0.0202, OR 1.36, P=0.0166, OR 1.49, P=0.0015, OR 1.33, P=0.0343, OR 0.68, P=0.0054, OR 0.70, P=0.0036, respectively). Patients with Parkinson's disease were at a lower risk for trochanteric fractures (OR 0.6, P=0.007).ConclusionAs there are some differences between risk factors for trochanteric and cervical hip fractures, there is a need for further studies in order to understand the etiology of fractures and to be able to carry out effective preventive efforts. Geriatr Gerontol Int 2015; 15: 443-448.