Epidemiology of fragility hip fractures in Nan, Thailand

Worapong Sucharitpongpan; Nuttorn Daraphongsataporn; Surapot Saloa; Nattaphon Philawuth; Prapan Chonyuen; Kaiwan Sriruanthong; Krairoek Waiwattana

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자료유형: 학술저널

저자정보: Worapong Sucharitpongpan (Department of Orthopaedic Surgery Nan Hospital Nan Thailand) Nuttorn Daraphongsataporn (Department of Orthopaedic Surgery Nan Hospital Nan Thailand) Surapot Saloa (Department of Orthopaedic Surgery Nan Hospital Nan Thailand) Nattaphon Philawuth (Department of Orthopaedic Surgery Nan Hospital Nan Thailand) Prapan Chonyuen (Department of Orthopaedic Surgery Nan Hospital Nan Thailand) Kaiwan Sriruanthong (Department of Orthopaedic Surgery Nan Hospital Nan Thailand) Krairoek Waiwattana (Department of Orthopaedic Surgery Nan Hospital Nan Thailand)

저널정보: 대한골다공증학회 Osteoporosis and Sarcopenia Osteoporosis and Sarcopenia Vol.5 No.1

발행연도: 2019.1

수록면: 19 - 22 (4page)

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Objectives: Hip fracture is the most serious consequence of falling in elderly with osteoporosis. Patients with hip fractures suffer functional deterioration and increased morbidity especially during the first year after fracture. Rapid increase in the proportion of the elderly increases the prevalence of hip fractures in Thailand, leading to major problem for public health. There is substantial variation in the incidence of hip fracture in different regions of Thailand. Demographic data are required to improve management and prevention. This study was aimed to describe the demographic data and to determine the incidence of fragility hip fractures in Nan, Thailand. Methods: A retrospective, cohort study had been conducted in Nan and Pua hospital. Patients with hip fractures were sorted by International Classification of Diseases 10th Revision (S72.0eS72.2) from September 1, 2014 to December 31, 2017. Statistical analyses were conducted using descriptive analysis and 95% confidence interval. Results: The incidence of hip fractures in Nan province in 2015e2017 were 211.6, 214.9 and 238.5 per 100,000 person-years, respectively. There were 876 patients in this study. Higher incidence was found in female (ratio, 2.5:1). About 87.2% of the fracture occurred inside the house. There were 5.9% who had refracture. The median for refracture time was 143 weeks. Conclusions: The incidence of hip fractures in Nan province was classified as moderate severity and was increasing between 2015 and 2017. A coordinated, multidisciplinary approach in homecare management especially in fall prevention are important factors to reduce incidence of fragility hip fracture.

#Epidemiology #Hip fracture #Osteoporosis #Refracture

참고문헌 (23)

참고문헌 신청

Roche JJ / 2005 / Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people : prospective observational cohort study / BMJ 331:1374

Fredman L / 2005 / Female hip fracture patients had poorer performance-based functioning than community-dwelling peers over 2-year follow-up period / J Clin Epidemiol 58:1289~1298

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Omsland TK / 2012 / Hip fractures in Norway 1999-2008 : time trends in total incidence and second hip fracture rates : a NOREPOS study / Eur J Epidemiol 27:807~814

Suriyawongpaisal P / 1994 / A multicenter study on hip fractures in Thailand / J Med Assoc Thail 77:488~495

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