一所大学医院的脆性骨折剖面图

Francisco Linares , Pablo Arbeláez-Echeverry , Abelardo Tinoco , Carlos Abondano
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摘要

世界上约有2亿人患有骨质疏松症。平均每三秒钟就会发生一次骨折,在过去十年中,其发病率呈指数级增长。尽管这是哥伦比亚的一个公共卫生问题,但我们缺乏显示该疾病严重程度的统计数据。材料与方法对急诊科易碎性骨折患者进行横断面描述性分析研究。计算了发病率并描述了种群特征。我们确定了不同变量之间的统计显著性关联。结果本组骨折发生率分别为10.7 /100例/年和1.02 /100例/年。57岁以上骨折发生率较高,其中80%为女性,主要为无业人员。桡骨远端骨折发生率较高,其次为髋部和肱骨近端骨折。85%的患者以前没有骨质疏松症。统计上发现年龄和地点、性别和年龄、性别和地点之间存在显著关联。随着人口老龄化,FF的发病率不断上升,我们发现了与文献报道相似的人口统计数据;女性发病率较高,主要损害桡骨远端。由于研究方法的局限性,它允许基于我们发现的关联提出新的问题和假设。我们认为这些患者的识别、诊断和早期治疗很重要,因为新跌倒的风险、相关的发病率和死亡率都降低了。证据等级iii:描述性分析研究。
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Perfil de fracturas por fragilidad en un hospital universitario

Introduction

About 200 million people in the world has osteoporosis. On average, a fracture occurs every three seconds and its prevalence has been increasing exponentially in the last decade. Despite being a public health issue in Colombia, we lack statistics that show de magnitude of the disease.

Materials and Methods

It's a cross-sectional descriptive study with an analytical component in patients with fragility fractures treated in the Emergency Department. The incidence has been calculated and the population characteristics described. We identified statistical significance associations between different variables.

Results

An incidence of 10.7 FF/100 fractures / year and 1.02 FF/100 patients treated at the ED/year was found. There was a higher incidence of fractures at 57 years old, 80% in women, mainly unemployed. Distal radius fracture had a higher prevalence, followed by hip and proximal humerous. 85% of the patients did not had osteoporosis previously. Statistically significant associations were found between age and location, sex and age, and sex and location.

Discussion

With population aging, the incidence of FF has been increasing, we found demographic data like those reported in the literature; a higher frequency in women and mainly compromising the distal radius. Due to the methodological limitations of the study, it allows for new questions and hypothesis based on the associations we found. We consider important the identification, diagnosis, and early treatment in these patients since the risk of new falls, associated morbidity and mortality is reduced.

Evidence Level

III: Descriptive- analytic study.

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