Abstract
Aim: Epidemiology of fractures in geriatric cases
is little known and there are very few studies related with this issue. The aim
of this study was to summarize the available evidence on the frequency,
gender, age, and seasonal distribution of fractures in geriatric cases.
Material and Methods: Patients who were admitted to major
trauma center because of extremity and spine problems were included in this
study. Age, gender, type of fracture, treatment modality and seasonal
distribution of fractures of all patients over 65 years of age were recorded
and expressed in tables and graphs.
Results: Between January 2016 and January 2018, 757 fractures
were determined in geriatric patients who had complaints of extremity or spine
pain. The incidence of fractures of the geriatric population was
39,5/1,000/year. The gender ratio of the fractures was 39/61(male/female). Fractures
in geriatric cases were most commonly seen in femur (43.4%, 60% of them women),
followed by radius (11.8%, 74% of them women) and humerus (10.6%, 70% of them
women).
Conclusions: Osteoporotic
fractures are increasing in geriatric patients.
Because of the higher incidence of morbidity and mortality, fractures in
geriatric cases require multidisciplinary approach to their care.
Keywords
References
- 1. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis related fractures in the United States, 2005e2025. J Bone Min Res 2007;22:465e75
- 2. Blume SW, Curtis JR. Medical costs of osteoporosis in the elderly medicare population. Osteoporos Int 2011;22(6):1835e44.
- 3. Aschengrau A, Seage G. Essentials of Epidemiology in Public Health. Jones & Bartlett Learning; 2008.
- 4. T.C. Tarim Ve Orman Bakanliği Meteoroloji Genel Müdürlüğü Available at:https:// www.mgm.gov.tr/veridegerlendirme/il-ve-ilceler-istatistik.aspx?m=TOKAT
- 5. Koca K, Ersen O, Akpancar S, Akyıldız F, Gürer L. Demographic Features of Patients with Extremity and Spine Fractures in Emergency Departments. Journal of Academic Emergency Medicine 2017; 16(1), 19.
- 6. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosisrelated fractures in the United States, 2005e2025. J Bone Min Res 2007;22:465e75.
- 7. Cauley JA. Public health impact of osteoporosis. J Gerontol Ser A Biol Sci Med Sci 2013;68(10):1243e51
- 8. Mandıracıoğlu A. Dünyada ve Türkiye’de yaşlıların demografik özellikleri. Ege J Med. 2010;49(3):39–45.
- 9. Abrahamsen B, Van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009;20(10):1633–50.
- 10. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosisrelated fractures in the United States, 2005e2025. J Bone Min Res 2007;22:465e75.
- 11. Kanis JA, Oden A, Johnell O, De Laet C, Jonsson B, Oglesby AK. The components of excess mortality after hip fracture. Bone. 2003;32(5):468–73
- 12. Kanis JA, Odén A, McCloskey EV, Johansson H, Wahl DA, Cooper CA. Systematic review of hip fracture incidence and probability of fracture world- wide. Osteoporos Int. 2012;23(9):2239–56.
- 13. Silveira VAL, Medeiros MMC, Coelho Filho JM, et al. Incidência de fratura do quadril em área urbana do Nordeste brasileiro. Cad Saúde Pública. 2005;21(3):907–12.
Abstract
Amaç:
Geriatrik olgularda kırıkların epidemiyolojisi az bilinmekte, bu konuda ise çok
az çalışma bulunmaktadır. Bu çalışmanın amacı, geriatrik olgularda kırıkların
sıklığı, cinsiyet, yaş ve mevsimsel dağılımını
değerlendirmektir.
Gereç
ve Yöntemler: Ekstremite ve omurga sorunları nedeniyle
majör travma merkezine başvuran hastalar çalışmaya dahil edildi. 65 yaş üzeri hastaların yaş, cinsiyet, kırık tipi,
tedavi şekli ve kırıklarının mevsimsel dağılımı retrospektif olarak
değerlendirildi.
Bulgular:
Ocak 2016 - Ocak 2018 arasında ekstremite veya omurga ağrısı ile başvuran 65 yaş üzeri
geriatrik hastalarda 757 kırık tespit edildi. Bu hastaların yaş ortalaması 77.1 idi. Geriatrik
popülasyonda kırık insidansı 39,5 / 1,000 / yıl idi. Kırıkların cinsiyet oranı
39/61 (erkek / kadın) idi. Geriatrik olgularda kırıklar en sık femur (%43.4,
%60'ı kadın), ardından radius (%11.8, %74'ü kadın) ve humerus (% 10.6, % 70'i kadın) kemiklerinde tespit edilmiştir.
Sonuç:
Geriatrik hasta grubunda büyük kemik kırıkları sık görülmekte ve çoğu cerrahi
olarak tedavi edilmektedir. Bu nedenle geriatrik olgularda kırıklar
multidisipliner yaklaşım gerektirmektedir.
Keywords
References
- 1. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis related fractures in the United States, 2005e2025. J Bone Min Res 2007;22:465e75
- 2. Blume SW, Curtis JR. Medical costs of osteoporosis in the elderly medicare population. Osteoporos Int 2011;22(6):1835e44.
- 3. Aschengrau A, Seage G. Essentials of Epidemiology in Public Health. Jones & Bartlett Learning; 2008.
- 4. T.C. Tarim Ve Orman Bakanliği Meteoroloji Genel Müdürlüğü Available at:https:// www.mgm.gov.tr/veridegerlendirme/il-ve-ilceler-istatistik.aspx?m=TOKAT
- 5. Koca K, Ersen O, Akpancar S, Akyıldız F, Gürer L. Demographic Features of Patients with Extremity and Spine Fractures in Emergency Departments. Journal of Academic Emergency Medicine 2017; 16(1), 19.
- 6. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosisrelated fractures in the United States, 2005e2025. J Bone Min Res 2007;22:465e75.
- 7. Cauley JA. Public health impact of osteoporosis. J Gerontol Ser A Biol Sci Med Sci 2013;68(10):1243e51
- 8. Mandıracıoğlu A. Dünyada ve Türkiye’de yaşlıların demografik özellikleri. Ege J Med. 2010;49(3):39–45.
- 9. Abrahamsen B, Van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009;20(10):1633–50.
- 10. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosisrelated fractures in the United States, 2005e2025. J Bone Min Res 2007;22:465e75.
- 11. Kanis JA, Oden A, Johnell O, De Laet C, Jonsson B, Oglesby AK. The components of excess mortality after hip fracture. Bone. 2003;32(5):468–73
- 12. Kanis JA, Odén A, McCloskey EV, Johansson H, Wahl DA, Cooper CA. Systematic review of hip fracture incidence and probability of fracture world- wide. Osteoporos Int. 2012;23(9):2239–56.
- 13. Silveira VAL, Medeiros MMC, Coelho Filho JM, et al. Incidência de fratura do quadril em área urbana do Nordeste brasileiro. Cad Saúde Pública. 2005;21(3):907–12.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Articles |
| Authors | |
| Publication Date | April 30, 2019 |
| Submission Date | January 6, 2019 |
| Acceptance Date | April 30, 2019 |
| Published in Issue | Year 2019 Volume: 2 Issue: 1 |
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Articles published in this journal are licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal of Geriatric Science is indexed in Turkey Citation Index, Turkish MEDLINE, Asos Indeks, Scilit, EuroPub, and Index Copernicus International - Journals Master List since September 2022.
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