[根据FRAX评分,50岁以上低冲击机制骨折患者的再骨折风险]。

Acta ortopedica mexicana Pub Date : 2022-09-01
R Garza-de Zamacona, A López-Rubio, M J Carús-Blázquez, E M Saucedo-Moreno, J F Ramos-Morales
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引用次数: 0

摘要

简介:随着人口金字塔的倒置,我们将看到更多的老年患者继发于低冲击机制的骨折,并不是所有的医院都有密度计来做出明确的诊断。然而,我们有临床工具可以帮助我们开始早期治疗。目的:了解我国人群中50岁以上患者再骨折的风险。材料和方法:我们纳入了Ángeles模型医院所有年龄大于50岁的低冲击骨折患者。我们使用墨西哥FRAX评分工具来确定发生骨折的风险。样本被分成两组。p < 0.05, CI为95%。结果:纳入69例患者。47.8%的人曾经骨折,只有10%的人接受过预防性骨质疏松治疗。50.7%的患者10年内发生骨质疏松性骨折的风险较高,75%的患者10年内发生髋部骨折。所有患者在出院时均未接受生活方式改变剂或特定骨质疏松药物治疗。结论:骨科医生对低冲击骨折患者骨质疏松症的早期预防管理存在不足。
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[Risk of refracture according to the FRAX score in patients older than 50 years who suffer a fracture by a low-impact mechanism].

Introduction: as the population pyramid inverts, we'll see more old patients suffering a fracture secondary to a low impact mechanism and not all hospitals have a densitometer to make a definitive diagnosis. Nevertheless, we have clinical tools that can help us to start an early treatment.

Objective: to recognize the risk of re-fracture of patients older than 50 years in our population.

Material and methods: we included all patients older than 50 that suffered a low impact fracture in the Ángeles Mocel Hospital. We used Mexico FRAX score tool to determine de risk of suffering a fracture. The sample was divided in two groups. Utilizing p < 0.05 and a CI of 95%.

Results: 69 patients where included. 47.8% had past fractures and only 10% of those had preventive osteoporotic treatment. 50.7% of the patients have a high risk of suffering a mayor osteoporotic fracture in 10 years and 75% of suffering a hip fracture in 10 years. None of the patients received a treatment, either lifestyle modifiers or specific osteoporosis pharmacotherapy at hospital discharge.

Conclusion: there is a deficiency in the early preventive management of osteoporosis in patients suffering a low impact fracture by orthopedic surgeons.

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