以色列各年龄组老年人髋部骨折发病率和死亡率的季节性模式。

IF 1.9 3区 医学 Q2 EMERGENCY MEDICINE European Journal of Trauma and Emergency Surgery Pub Date : 2024-07-25 DOI:10.1007/s00068-024-02569-w
Yaniv Yonai, Salim Masarwa, Merav Ben Natan, Yaron Berkovich
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引用次数: 0

摘要

目的:本研究调查了以色列老年人群中髋部骨折发生率和死亡率的季节性规律:在这项回顾性研究中,我们对 2021-2022 年期间在以色列中北部一家拥有 495 张病床的医院接受髋部骨折修复手术的 400 名患者进行了随机抽样:结果:我们的研究结果显示,春季髋部骨折的发病率较高(30.8%),而其他季节的发病率相对稳定(22-24.2%)。与其他季节相比,春季髋部骨折患者明显更年轻,住院时间更短。此外,我们还发现髋部骨折发病率在性别、文化和国籍方面存在季节性差异。在两年的随访期间,20%的患者死亡。春季髋部骨折患者的存活率最高,而秋季和冬季的存活率最低:虽然我们的研究强调了以色列老年人群中髋部骨折发生率和死亡率的显著季节性变化,但在解释其对骨折后护理和资源分配的影响时仍需谨慎。观察到春季髋部骨折的发生率较高,尤其是住院时间较短的年轻患者,这表明有必要进一步调查潜在的风险因素和针对这一季节的预防措施。此外,我们还发现髋部骨折发病率在不同人口因素中存在季节性差异,这突出了针对不同人群的不同需求采取有针对性的干预措施的重要性。
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Seasonal patterns of hip fracture incidence and mortality rates across age groups of older adults in Israel.

Purpose: This study investigates the seasonal patterns of hip fracture occurrence and mortality rates in the elderly population of Israel.

Methods: In this retrospective study, we examined a random sample of 400 patients who underwent a hip fracture repair surgery at a 495-bed hospital in northern-central Israel during the years 2021-2022.

Results: Our findings reveal a heightened incidence of hip fractures during the spring (30.8%) in contrast to relatively consistent rates during other seasons (22-24.2%). Patients experiencing hip fractures in the spring were notably younger and had shorter hospital stays compared to those in other seasons. Furthermore, we identified seasonal variations in hip fracture incidence concerning gender, culture, and nationality. Over the 2-year follow-up period, 20% of patients had succumbed to mortality. The highest survival rate was associated with hip fractures sustained in the spring, while the lowest rates were observed in the autumn and winter.

Conclusion: While our study highlights significant seasonal variations in hip fracture occurrence and mortality rates among the elderly population in Israel, caution is warranted in interpreting the implications for post-fracture care and resource allocation. The observed heightened incidence of hip fractures during the spring, particularly among younger patients with shorter hospital stays, suggests the need for further investigation into potential risk factors and preventive measures specific to this season. Additionally, our identification of seasonal variations in hip fracture incidence across demographic factors underscores the importance of tailored interventions to address the diverse needs of different populations.

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来源期刊
CiteScore
4.50
自引率
14.30%
发文量
311
审稿时长
3 months
期刊介绍: The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries. Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.
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