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Epidemiology of Bone Fracture in Female Trauma Patients Based on Risks of Osteoporosis Assessed using the Osteoporosis Self-Assessment Tool for Asians Score

International journal of environmental research and public health, 2017-11, Vol.14 (11), p.1380 [Peer Reviewed Journal]

Copyright MDPI AG 2017 ;2017 by the authors. 2017 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph14111380 ;PMID: 29137199

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Title:
Epidemiology of Bone Fracture in Female Trauma Patients Based on Risks of Osteoporosis Assessed using the Osteoporosis Self-Assessment Tool for Asians Score
Author: Rau, Cheng-Shyuan ; Wu, Shao-Chun ; Kuo, Pao-Jen ; Chen, Yi-Chun ; Chien, Peng-Chen ; Hsieh, Hsiao-Yun ; Hsieh, Ching-Hua
Subjects: Adult ; Age ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group ; Bicycles ; Biocompatibility ; Body mass index ; Bone density ; Cardiovascular disease ; Clinical medicine ; Comorbidity ; Confidence intervals ; Diabetes ; Emergency medical care ; Epidemiology ; Female ; Femur ; Fractures ; Fractures, Bone - epidemiology ; Fractures, Bone - etiology ; Health risks ; Humans ; Humerus ; Incidence ; Injuries ; Middle Aged ; Obesity ; Odds Ratio ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - epidemiology ; Patients ; Propensity Score ; Registries ; Risk assessment ; Risk Factors ; Risk groups ; Self evaluation ; Self-Assessment ; Systematic review ; Trauma ; Trauma Centers
Is Part Of: International journal of environmental research and public health, 2017-11, Vol.14 (11), p.1380
Description: : Osteoporotic fractures are defined as low-impact fractures resulting from low-level trauma. However, the exclusion of high-level trauma fractures may result in underestimation of the contribution of osteoporosis to fractures. In this study, we aimed to investigate the fracture patterns of female trauma patients with various risks of osteoporosis based on the Osteoporosis Self-Assessment Tool for Asians (OSTA) score. : According to the data retrieved from the Trauma Registry System of a Level I trauma center between 1 January 2009 and 31 December 2015, a total of 6707 patients aged ≥40 years and hospitalized for the treatment of traumatic bone fracture were categorized as high-risk (OSTA < -4, = 1585), medium-risk (-1 ≥ OSTA ≥ -4, = 1985), and low-risk (OSTA > -1, = 3137) patients. Two-sided Pearson's, chi-squared, or Fisher's exact tests were used to compare categorical data. Unpaired Student's -test and Mann-Whitney -test were used to analyze normally and non-normally distributed continuous data, respectively. Propensity-score matching in a 1:1 ratio was performed with injury mechanisms as adjusted variables to evaluate the effects of OSTA-related grouping on the fracture patterns. : High- and medium-risk patients were significantly older, had higher incidences of comorbidity, and were more frequently injured from a fall and bicycle accident than low-risk patients did. Compared to low-risk patients, high- and medium-risk patients had a higher injury severity and mortality. In the propensity-score matched population, the incidence of fractures was only different in the extremity regions between high- and low-risk patients as well as between medium- and low-risk patients. The incidences of femoral fractures were significantly higher in high-risk (odds ratio [OR], 3.4; 95% confidence interval [CI], 2.73-4.24; < 0.001) and medium-risk patients (OR, 1.4; 95% CI, 1.24-1.54; < 0.001) than in low-risk patients. In addition, high-risk patients had significantly lower odds of humeral, radial, patellar, and tibial fractures; however, such lower odds were not found in medium- risk than low-risk patients. : The fracture patterns of female trauma patients with high- and medium-risk osteoporosis were different from that of low-risk patients exclusively in the extremity region.
Publisher: Switzerland: MDPI AG
Language: English
Identifier: ISSN: 1660-4601
ISSN: 1661-7827
EISSN: 1660-4601
DOI: 10.3390/ijerph14111380
PMID: 29137199
Source: Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
PubMed Central
ProQuest Central

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Epidemiology of Bone Fracture in Female Trauma Patients Based on Risks of Osteoporosis Assessed using the Osteoporosis Self-Assessment Tool for Asians Score

Copyright MDPI AG 2017 ;2017 by the authors. 2017 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph14111380 ;PMID: 29137199

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