Investigation on the history of low-energy fractures and analysis of risk factors in elderly patients with hip fractures at the local
10.3760/cma.j.issn.0254-9026.2023.11.010
- VernacularTitle:老年髋部骨折患者既往低能量骨折史特征及危险因素分析
- Author:
Xuan WU
1
;
Xiangxu CHEN
;
Chuwei TIAN
;
Liyong BAI
;
Yingjuan LI
;
Jihong ZOU
;
Liqun REN
;
Hui CHEN
;
Yunfeng RUI
Author Information
1. 东南大学附属中大医院骨科 东南大学附属中大医院老年髋部骨折多学科综合诊疗协作组 东南大学附属中大医院创伤救治中心 东南大学创伤骨科研究所 东南大学医学院，南京 210009
- Keywords:
Hip fractures;
Osteoporosis;
Risk factors
- From:
Chinese Journal of Geriatrics
2023;42(11):1326-1329
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the characteristics and risk factors of previous low-energy fractures in elderly patients with hip fractures admitted to our hospital.Methods:The data for this study was collected from 596 hip fracture patients admitted to Zhongda Hospital Affiliated to Southeast University between January 2018 and December 2021.Out of these patients, there were 404 females and 192 males.Based on the history of low-energy fracture before hip fracture, the patients were divided into two groups: a low-energy fracture group and a non-low-energy fracture group.A comparison was made between the two groups in terms of gender, age, fracture type, BMI, number of combined medical diseases, ASA score, and other characteristics.Results:The study included a total of 596 patients, with 368 patients having no history of low-energy fractures and 228 patients with low-energy fractures.Among the patients with low-energy fractures, there were 118 vertebral fractures, 69 hip fractures, 57 rib fractures, 19 radial fractures, 14 humerus fractures, and 12 patella fractures.Univariate analysis revealed significant differences in age, gender, fracture type, number of combined medical diseases, and ASA score between the two groups( P<0.05 for all). The results of multivariate Logistic analysis indicated that age( OR=1.046, 95% CI: 1.022-1.070), female sex( OR=1.474, 95% CI: 1.011-2.148), and the number of comorbid medical diseases( OR=1.211, 95% CI: 1.113-1.318)were independent risk factors for patients with a history of low-energy fractures. Conclusions:Our findings provide evidence that vertebral, hip, and rib fractures were the three most common previous low-energy fractures in elderly patients with hip fractures.We identified age, female gender, and number of medical diseases as independent risk factors for prior low-energy fractures in this population.
