探討老人髖部骨折相關危險因子之病歷對照研究

Case-Control Study of Risk Factors for Hip Fracture in the Elderly

黃珮茹(Pei-Ju Huang) ； 李淑杏(Shu-Hsin Lee)

《護理雜誌》 59卷6期 (2012/12) Pp. 45-54

https://doi.org/10.6224/JN.59.6.45

摘要

Background: The elderly (≥ 65 years of age) accounted for 10.4% of Taiwan's population in 2008. Hip-fracture-related hospitalizations cost the National Health Insurance Bureau around NT$1.3 billion annually. Hip fractures currently account for one-fifth of all fractures, and this proportion has been rising by 2.8 % annually. Hip fracture-associated mortality has been reported as 8.4-36% during the first post-fracture year. Hip fractures in the elderly is an issue that deserves further elucidation and study.Purpose: We investigated whether variables including gender, age, body mass index, lifestyle, and medical history were risk factors for elderly hip fractures.Methods: We used a case control study and collected data via retrospective chart review and telephone questionnaires. Hip fracture risk factor data collected included demographic, lifestyle, and medical history data.Results: Results showed average age in the hip fracture group as significantly higher than the non-hip fracture group and body mass index as significantly lower in the hip fracture than the non-hip fracture group (p＜ .05). Gender, history of alcoholism, exercise habits, history of stroke, diabetes mellitus, hypertension, depression, and past fractures were identified as significant hip fracture risk factors.Conclusions / Implications for Practice: This study identified critical hip fracture risk factors in the elderly. Results provide a reference for prevention and health education. Reducing hip fractures, in addition to improving daily life quality for elderly individuals, can significantly reduce medical and social expenses.

關鍵字

髖部骨折 ； 老人 ； 危險因子

並列摘要

Background: The elderly (≥ 65 years of age) accounted for 10.4% of Taiwan's population in 2008. Hip-fracture-related hospitalizations cost the National Health Insurance Bureau around NT$1.3 billion annually. Hip fractures currently account for one-fifth of all fractures, and this proportion has been rising by 2.8 % annually. Hip fracture-associated mortality has been reported as 8.4-36% during the first post-fracture year. Hip fractures in the elderly is an issue that deserves further elucidation and study.Purpose: We investigated whether variables including gender, age, body mass index, lifestyle, and medical history were risk factors for elderly hip fractures.Methods: We used a case control study and collected data via retrospective chart review and telephone questionnaires. Hip fracture risk factor data collected included demographic, lifestyle, and medical history data.Results: Results showed average age in the hip fracture group as significantly higher than the non-hip fracture group and body mass index as significantly lower in the hip fracture than the non-hip fracture group (p＜ .05). Gender, history of alcoholism, exercise habits, history of stroke, diabetes mellitus, hypertension, depression, and past fractures were identified as significant hip fracture risk factors.Conclusions / Implications for Practice: This study identified critical hip fracture risk factors in the elderly. Results provide a reference for prevention and health education. Reducing hip fractures, in addition to improving daily life quality for elderly individuals, can significantly reduce medical and social expenses.

並列關鍵字

hip fracture ； elderly ； risk factor