70세 이상 고령의 고관절부 주위 골절 발생의 위험인자
Risk Factors Predicting Hip Fractures in Patients Over 70 Years Old
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다운로드
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참고문헌
키워드
초록
목적: 고령에서 발생한 고관절부 골절과 관련된 여러 요인들을 분석하여 예측 가능한 인자를 알아보고자 하였다. 대상 및 방법: 2002년 1월에서 2007년 1월까지 낮은 에너지 손상에 의한 고관절부 골절로 내원한 70세 이상의 환자 172(A 군)명을 대상으로 골밀도, 동반질환, 비만도, ADL 평가 지수를 분석하였다. 대조군(B군)으로 나이와 성별을 고려하고 골절의 과 거력이 없는 환자 180명을 비교하였다. 결과: 다변량의 로지스틱 회귀분석상에서 여성, 낮은 골밀도, 높은 일상생활 의존도, 뇌혈관 질환, 슬관절염이 고관절부 골절과 유의한 결과를 보였다. 결론: 여성, 낮은 골밀도, 높은 일상생활 의존도가 고령의 고관절부 골절의 고 위험인자이며, 또한 슬관절염과 고관절부 골절과 의 통계학적 중요성은 낙상과 관련되어 또 다른 독립된 위험인자로 사료된다.
Abstract
Purpose: We conducted a retrospective case-control study to evaluate the factors predictive of hip fractures in elderly patients. Materials and Methods: We studied 172 patients age 70 years or older who sustained hip fractures with minor injuries between January 2002 and January 2007. We analyzed bone mineral density, comorbidities, body mass index, and the activities of daily living (ADL) scale. One hundred eighty patients (control subjects) with no history of fracture were matched to the study subjects with respect to age and sex. Results: Multivariate logistic regression showed that female sex, low bone mineral density, high ADL scale, cerebral vascular attack, and knee osteoarthritis were associated with an increased incidence of hip fracture. Conclusion: Female sex, low bone mineral density, and high ADL scale were related to hip fractures in the elderly. Knee osteoarthritis should be regarded as an independent risk factor for fractures because of an increased risk of falling.
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