Prognostic Factors of Hip Fracture in Elderly: A Systematic Review.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Preventive Medicine Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI:10.4103/ijpvm.ijpvm_169_23
Khadijeh Kalan Farmanfarma, Soudabeh Yarmohammadi, Esmaeil Fakharian, Robbert J Gobbens, Mehrdad Mahdian, Zahra Batooli, Mohammad-Sajjad Lotfi, Masoumeh Abedzadeh-Kalahroudi, Reza Fadaei Vatan, Gholamreza Reza Khosravi, Mohammad Reza Fazel, Mojtaba Sehat
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Abstract

The hip fracture causes significant disabilities in many elderly people. Many studies around the world have identified various risk factors for the hip fracture. The aim of this study was to systematically investigate the risk factors of hip fractures. This study is a systematic review of risk factors for hip fractures. All published papers in English and Persian languages on patients in Iran and other countries between 2002 - 2022 were examined. The search strategy used keywords matching the mesh, including : predictors, hip fracture, and disability. Articles were selected from international databases (PubMed, Proquest ,Web of Sience, Scopus, Google scholar and Persian(Sid,Magiran), and the Newcastle Ottawa Scale was used to assess the risk of bias. The study has identified several factors that were significantly correlated with the risk of hip fracture, including age, cigarette and alcohol consumption, visual and hearing problems, low BMI levels, history of falling, weakness, and diseases such as stroke, cardiovascular disease, high blood pressure, arthritis, diabetes, dementia, Alzheimer's, Parkinson's, liver and kidney diseases, bone density, osteoporosis, vertebral fracture, and hyperthyroidism. However, the study did not find any significant correlations between the consumption of calcium and vitamin D, history of fractures, cognitive disorders, schizophrenia, and household income, and the risk of hip fracture. The results of this study reveal the determining role of some risk factors in hip fracture in older persons. Therefore, it is recommended that health policy makers provide the possibility of early intervention for some changeable factors.

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老年人髋部骨折的预后因素:系统回顾
髋部骨折给许多老年人造成严重残疾。世界各地的许多研究都发现了髋部骨折的各种风险因素。本研究旨在系统地调查髋部骨折的风险因素。本研究是对髋部骨折风险因素的系统回顾。研究人员查阅了 2002 年至 2022 年期间以英语和波斯语发表的关于伊朗和其他国家患者的所有论文。搜索策略使用了与网状结构相匹配的关键词,包括:预测因素、髋部骨折和残疾。文章选自国际数据库(PubMed、Proquest、Web of Sience、Scopus、Google scholar 和波斯文数据库(Sid、Magiran)),并使用纽卡斯尔渥太华量表评估偏倚风险。研究发现了一些与髋部骨折风险显著相关的因素,包括年龄、吸烟和饮酒、视力和听力问题、低体重指数水平、跌倒史、虚弱以及中风、心血管疾病、高血压、关节炎、糖尿病、痴呆症、阿尔茨海默氏症、帕金森氏症、肝脏和肾脏疾病、骨密度、骨质疏松症、脊椎骨折和甲状腺功能亢进等疾病。然而,研究并未发现钙和维生素 D 的摄入量、骨折史、认知障碍、精神分裂症、家庭收入与髋部骨折风险之间存在任何明显的相关性。这项研究的结果揭示了一些风险因素对老年人髋部骨折的决定性作用。因此,建议卫生政策制定者为一些可改变的因素提供早期干预的可能性。
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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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