Hip fractures: a worldwide problem today and tomorrow.
Hip fractures: a worldwide problem today and tomorrow.
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DOI：
10.1016/8756-3282(93)90341-7
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发表时间：
1993
期刊：
影响因子：
4.1
通讯作者：
L. Melton
中科院分区：
文献类型：
--
作者：
L. Melton
髋部骨折导致过多的死亡和严重的残疾。大多数都与福尔斯和骨质疏松症有关，四分之一的绝经后白色妇女受到骨质疏松症的影响，但其他种族的男性或女性人数较少。因此，1990年全世界166万例髋部骨折中约有一半发生在欧洲和北美。然而，即使在这些地区，髋部骨折的发病率也有很大的差异，这表明存在重要的环境因素，可以通过控制这些因素来减少髋部骨折的发生。这一点很重要，因为仅在美国，每年就有25万例髋部骨折，花费超过80亿美元，主要用于急性医疗护理和疗养院服务。未来的费用将更高，因为世界各地的人口正在迅速老龄化，而且一些地区的髋部骨折发病率正在上升。亚洲、拉丁美洲、中东和非洲的老年人数量增长最快，预计到2050年，这些地区将占626万髋关节骨折的70%以上。由于骨折治疗费用昂贵，康复并不总是成功的，有效的预防提供了减轻髋部骨折的巨大社会负担的唯一希望。
Hip fractures lead to excess deaths and substantial disability. Most are related both to falls and to osteoporosis, which affects one in four post-menopausal white women, but a lesser number of men or women of other races. Consequently, about half of the 1.66 million hip fractures worldwide in 1990 occurred in Europe and North America. Even within these regions, however, there is substantial variation in hip fracture incidence rates, which suggests the existence of important environmental factors that could be manipulated to reduce hip fracture occurrence. This is important because in the United States alone, a quarter of a million hip fractures annually cost over $8 billion, mostly for acute medical care and nursing home services. Future costs will be even greater because populations are ageing rapidly around the world and because hip fracture incidence rates are rising in some regions. The number of elderly is increasing most rapidly in Asia, Latin America, the Middle East, and Africa, and these regions will account for over 70% of the 6.26 million hip fractures expected in the year 2050. Because fracture treatment is expensive, and rehabilitation not always successful, effective prophylaxis offers the only hope of alleviating the enormous social burden of hip fractures.