Epidemiological characteristics of geriatric hip fractures in Hebei Province between 2010 and 2011_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SHAO Jiashen , JIN Zhucheng , LIU Bo , ZHU Yanbin , LIU Song , CHEN Wei ,  ZHANG Yingze

Department of Orthopaedics, the Third Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051, P.R.China;

Corresponding author：

ZHANG Yingze, Email: yzling_liu@163.com

Keywords：

Geriatric hip fracture; epidemiology; multi-center study

DOI：

10.7507/1002-1892.201804058

Video：

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Objective To investigate epidemiological characteristics of geriatric hip fractures between 2010 and 2011 in Hebei province. Methods The digital radiography image data and basic information of patients above 60 years old with hip fractures (femoral neck fracture, femoral intertrochanteric fracture, and femoral head fracture) in 5 hospitals of Hebei province between January 2010 and December 2011 were analyzed retrospectively. All the data including patients’ gender, age, and AO types were abstracted and analyzed to investigate the epidemiologic characteristics of geriatric hip fractures in Hebei province. Results A total of 4 207 hip fracture patients above 60 years old were included, accounting for 59.61% of all patients with hip fractures and 26.24% of all fractures patients over 60 years old in the same period. There were 1 703 (40.48%) males and 2 504 (59.52%) females (M∶F=1∶1.47). The patients ranged in age from 61 to 99 years, with an average of 75.4 years; the majority of patients aged 70-79 years (43.97%) and the minority of the patients aged 90-99 years (2.02%); women of all ages were more than men, but the difference was not significant (P>0.05). According to AO classification, there were 2 118 cases (50.34%) of type 31-A, 2 004 case (47.63%) of type 31-B, and 85 cases (2.02%) of type 31-C. Except for the type 31-A1, 31-A3, and 31-C1 of 60-69 age group, and the type 31-A3 of 80-89 age groups, women were significantly more than men. Conclusion There are more women than men in hip fractures in Hebei province, and 70-79 age group is the high-risk age group of geriatric hip fractures. Among them, intertrochanteric comminuted fractures are common types.

Citation： SHAO Jiashen, JIN Zhucheng, LIU Bo, ZHU Yanbin, LIU Song, CHEN Wei, ZHANG Yingze. Epidemiological characteristics of geriatric hip fractures in Hebei Province between 2010 and 2011. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(10): 1287-1290. doi: 10.7507/1002-1892.201804058 Copy

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2.	Miyamoto RG, Kaplan KM, Levine BR, et al. Surgical management of hip fractures: an evidence-based review of the literature.Ⅰ: femoral neck fractures. J Am Acad Orthop Surg, 2008, 16(10): 596-607.
3.	Orimo H, Hashimoto T, Yoshimura N, et al. Nationwide incidence survey of femoral neck fracture in Japan, 1992. J Bone Mineral Metabolism, 1997, 15(2): 100-106.
4.	殷兵, 郭家良, 董天华, 等. 西南地区 11 家医院成人髋部骨折患者临床特征构成分析. 中华外科杂志, 2015, 53(5): 349-352.
5.	Azagra R, López-Expósito F, Martin-Sánchez JC, et al. Incidence of hip fracture in Spain (1997-2010). Med Clin (Barc), 2015, 145(11): 465-470.
6.	Maharlouei N, Khodayari M, Forouzan F, et al. The incidence rate of hip fracture in Shiraz, Iran during 2008-2010. Arch Osteoporos, 2014, 9(1): 165.
7.	陈述祥, 刘彦, 区文欢, 等. 老年髋部骨折术后肺部并发症的危险因素分析. 中华老年骨科与康复电子杂志, 2016, 2(4): 239-244.
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10.	杨洋, 林向进. 877 例髋部骨折患者发病情况及其流行病学特征分析. 中华流行病学杂志, 2014, 35(4): 446-448.
11.	张静, 李志锐, 唐佩福. 老年粗隆间骨折的手术治疗进展. 中华老年骨科与康复电子杂志, 2016, 2(4): 250-253.
12.	丁涛, 张保焜, 田少奇. 老年髋部骨折手术方法的选择原则及应用现状. 中国修复重建外科杂志, 2018, 32(11): 1435-1440.
13.	刘松, 陈伟, 朱燕宾, 等. 2010—2011 年中国东北和西北地区老年髋部骨折的流行病学对比. 中华老年骨科与康复电子杂志, 2017, 3(3): 172-176.
14.	Giversen IM. Time trends of age-adjusted incidence rates of first hip fractures: a register-based study among older people in Viborg County, Denmark, 1987-1997. Osteoporos Int, 2006, 17(4): 552-554.
15.	许新忠, 荆珏华. 股骨转子间骨折治疗进展. 中国伤残医学, 2014, 22(17): 216-218.
16.	丁剑锋. 老年人髋部骨折临床发病特点及防治的研究. 中国骨质疏松杂志, 2012, 18(12): 1116-1118.
17.	Suzuki T, Kim H, Yoshida H, et al. Randomized controlled trial of exercise intervention for the prevention of falls in community-dwelling elderly Japanese women. J Bone Mineral Metab, 2004, 22(6): 602-611.
18.	程志安, 林定坤, 刘冬斌, 等. 广州市 1998-2007 年 3449 例骨质疏松髋部骨折患者住院医疗资源分析. 中华流行病学杂志, 2008, 29(11): 1128-1131.
19.	王俊, 尹宗生, 马广文, 等. 合肥市两家省级医院髋部骨折的性别及年龄分布分析. 中国骨质疏松杂志, 2014, 20(10): 1197-1201.
20.	张英泽. 临床创伤骨科流行病学. 北京: 人民卫生出版社, 2014: 175.

1. Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporos Int, 1997, 7(5): 407-413.
2. Miyamoto RG, Kaplan KM, Levine BR, et al. Surgical management of hip fractures: an evidence-based review of the literature.Ⅰ: femoral neck fractures. J Am Acad Orthop Surg, 2008, 16(10): 596-607.
3. Orimo H, Hashimoto T, Yoshimura N, et al. Nationwide incidence survey of femoral neck fracture in Japan, 1992. J Bone Mineral Metabolism, 1997, 15(2): 100-106.
4. 殷兵, 郭家良, 董天华, 等. 西南地区 11 家医院成人髋部骨折患者临床特征构成分析. 中华外科杂志, 2015, 53(5): 349-352.
5. Azagra R, López-Expósito F, Martin-Sánchez JC, et al. Incidence of hip fracture in Spain (1997-2010). Med Clin (Barc), 2015, 145(11): 465-470.
6. Maharlouei N, Khodayari M, Forouzan F, et al. The incidence rate of hip fracture in Shiraz, Iran during 2008-2010. Arch Osteoporos, 2014, 9(1): 165.
7. 陈述祥, 刘彦, 区文欢, 等. 老年髋部骨折术后肺部并发症的危险因素分析. 中华老年骨科与康复电子杂志, 2016, 2(4): 239-244.
8. 吕厚辰, 唐佩福. 老年髋部骨折患者死亡风险评价. 中华老年骨科与康复电子杂志, 2016, 2(2): 109-113.
9. 邱贵兴. 老年骨质疏松性骨折的治疗策略. 中华老年骨科与康复电子杂志, 2015, 1(1): 1-5.
10. 杨洋, 林向进. 877 例髋部骨折患者发病情况及其流行病学特征分析. 中华流行病学杂志, 2014, 35(4): 446-448.
11. 张静, 李志锐, 唐佩福. 老年粗隆间骨折的手术治疗进展. 中华老年骨科与康复电子杂志, 2016, 2(4): 250-253.
12. 丁涛, 张保焜, 田少奇. 老年髋部骨折手术方法的选择原则及应用现状. 中国修复重建外科杂志, 2018, 32(11): 1435-1440.
13. 刘松, 陈伟, 朱燕宾, 等. 2010—2011 年中国东北和西北地区老年髋部骨折的流行病学对比. 中华老年骨科与康复电子杂志, 2017, 3(3): 172-176.
14. Giversen IM. Time trends of age-adjusted incidence rates of first hip fractures: a register-based study among older people in Viborg County, Denmark, 1987-1997. Osteoporos Int, 2006, 17(4): 552-554.
15. 许新忠, 荆珏华. 股骨转子间骨折治疗进展. 中国伤残医学, 2014, 22(17): 216-218.
16. 丁剑锋. 老年人髋部骨折临床发病特点及防治的研究. 中国骨质疏松杂志, 2012, 18(12): 1116-1118.
17. Suzuki T, Kim H, Yoshida H, et al. Randomized controlled trial of exercise intervention for the prevention of falls in community-dwelling elderly Japanese women. J Bone Mineral Metab, 2004, 22(6): 602-611.
18. 程志安, 林定坤, 刘冬斌, 等. 广州市 1998-2007 年 3449 例骨质疏松髋部骨折患者住院医疗资源分析. 中华流行病学杂志, 2008, 29(11): 1128-1131.
19. 王俊, 尹宗生, 马广文, 等. 合肥市两家省级医院髋部骨折的性别及年龄分布分析. 中国骨质疏松杂志, 2014, 20(10): 1197-1201.
20. 张英泽. 临床创伤骨科流行病学. 北京: 人民卫生出版社, 2014: 175.

Chinese Journal of Reparative and Reconstructive Surgery

Epidemiological characteristics of geriatric hip fractures in Hebei Province between 2010 and 2011

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