the epidemic of hip fractures are we on the right track髋部骨折的流行,我们在正确的轨道上.pdf

The Epidemic of Hip Fractures: Are We on the Right Track? 1,2 1 2 2 Klaas A. Hartholt , Christian Oudshoorn , Stephanie M. Zielinski , Paul T. P. W. Burgers , Martien J. M. 3 4 2 1 Panneman , Ed F. van Beeck , Peter Patka , Tischa J. M. van der Cammen * 1 Department of Internal Medicine - Section of Geriatric Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands, 2 Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands, 3 Consumer and Safety Institute, Amsterdam, The Netherlands, 4 Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands Abstract Background: Hip fractures are a public health problem, leading to hospitalization, long-term rehabilitation, reduced quality of life, large healthcare expenses, and a high 1-year mortality. Especially older adults are at greater risk of fractures than the general population, due to the combination of an increased fall risk and osteoporosis. The aim of this study was to determine time trends in numbers and incidence rates of hip fracture-related hospitalizations and admission duration in the older Dutch population. Methods and Findings: Secular trend analysis of all hospitalizations in the older Dutch population ($65 years) from 1981 throughout 2008, using the National Hospital Discharge Registry. Numbers, age-specific and age-adjusted incidence rates (per 10,000 persons) of hospital admissions and hospital days due to a hip fracture were used as outcome measures in each year of the study. Between 1981 and 2008, the absolute nu