Impact of COVID-19 public health restrictions on fall-related hip fracture hospitalizations: An interrupted time series analysis

IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Bone Pub Date : 2024-08-17 DOI:10.1016/j.bone.2024.117237
Seigo Mitsutake , Reidar P. Lystad , Janet C. Long , Jeffrey Braithwaite , Rebecca Mitchell
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Abstract

Purpose

There is limited evidence regarding the impact of public health restrictions on hip fracture hospitalization by place of fracture occurrence. This study aimed to examine the impact of COVID-19 public health restrictions on fall-related hip fracture hospitalization rates by place of occurrence.

Methods

This retrospective cohort study was conducted using hospitalization data in New South Wales, Australia, between January 2014 and June 2022. Older adults aged ≥65 years admitted to hospital following a fall-related hip fracture. An interrupted time-series analysis using autoregressive integrated moving average models evaluated the impact of public health restrictions on fall-related hip fracture hospitalization by place of fracture occurrence (home/residence, residential aged care facility (RACF), or away from usual residence).

Results

The mean observed fall-related hip fracture hospitalization rate during COVID-19 public health restrictions (36.3 per 100,000 people per month) was 13.4 % lower than the forecasted rate (41.1 per 100,000 people per month). The mean observed hospitalization rates for fall-related hip fractures at home/residence, at a RACF, and away from the usual residence were 3.8 %, 18.5 %, and 40.1 % lower than the forecasted rates, respectively. Level changes in the fall-related hip fracture hospitalization rates at RACFs and away from usual residences were −0.9 per 100,000 people per month (95 % CI −1.6 to −0.2) and −1.7 per 100,000 people per month (95 % CI −2.5 to −0.9), respectively.

Conclusions

There was a decline in fall-related hip fracture hospitalization rates among older adults, where the fracture occurred at RACFs and away from a person's usual residence during COVID-19 public health restrictions.

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COVID-19 公共卫生限制对跌倒相关髋部骨折住院治疗的影响:间断时间序列分析。
目的:关于公共卫生限制对骨折发生地髋部骨折住院率的影响,目前证据有限。本研究旨在探讨 COVID-19 公共卫生限制措施对不同发生地与跌倒相关的髋部骨折住院率的影响:这项回顾性队列研究使用了 2014 年 1 月至 2022 年 6 月期间澳大利亚新南威尔士州的住院数据。年龄≥65 岁的老年人因跌倒相关髋部骨折住院。利用自回归综合移动平均模型进行间断时间序列分析,评估了公共卫生限制措施对跌倒相关髋部骨折住院治疗的影响,并按骨折发生地(家中/住所、养老院(RACF)或远离常住地)进行了分类:在 COVID-19 公共卫生限制期间,平均观察到的跌倒相关髋部骨折住院率(每 10 万人每月 36.3 例)比预测住院率(每 10 万人每月 41.1 例)低 13.4%。与跌倒相关的髋部骨折在家中/住所、区域医疗中心和远离常住地的平均观察住院率分别比预测住院率低 3.8%、18.5% 和 40.1%。在区域医疗中心和远离常住地的跌倒相关髋部骨折住院率的水平变化分别为每月每10万人中-0.9(95 % CI -1.6 至 -0.2)和每月每10万人中-1.7(95 % CI -2.5至 -0.9):结论:在 COVID-19 公共卫生限制期间,老年人因摔倒导致的髋部骨折住院率有所下降,骨折发生在 RACF 和远离常住地的地方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Bone
Bone 医学-内分泌学与代谢
CiteScore
8.90
自引率
4.90%
发文量
264
审稿时长
30 days
期刊介绍: BONE is an interdisciplinary forum for the rapid publication of original articles and reviews on basic, translational, and clinical aspects of bone and mineral metabolism. The Journal also encourages submissions related to interactions of bone with other organ systems, including cartilage, endocrine, muscle, fat, neural, vascular, gastrointestinal, hematopoietic, and immune systems. Particular attention is placed on the application of experimental studies to clinical practice.
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