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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2016 / Cilt: 27 - Sayı: 3

İleri yaşlılarda femur boyun kırıklarını takiben kontralateral kalça kırıkları için risk faktörleri: Macaristan ulusal sağlık sigortası veri tabanının incelenmesi

Risk factors for contralateral hip fractures following femoral neck fractures in elderly: analysis of the Hungarian nationwide health insurance database

Krisztina JUHÁSZ
Imre BONCZ HABİL
Balázs PATCZAİ
Tibor MİNTÁL
Andor SEBESTYÉN HABİL
Pages
146–152
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Log-rank test showed significantly longer survival in females (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to investigate the significance of demographic and clinical factors on incidence of second (contralateral) hip fracture in elderly Hungarian population using the nationwide health insurance database in Hungary.Patients and methods: The study included a total of 3,783 patients (917 males, 2,866 females) treated for primary monotraumatic femoral neck fractures caused by low-energy trauma in the year 2000.
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Key Findings & Data:Cox regression and Kaplan-Meier survival analyses, and log-rank test were performed to evaluate the following prognostic factors: age, gender, place of living, type of primary fracture and surgical intervention, hospital providing treatment for primary fracture, and comorbidities.Results: A total of 312 patients (8.2%) suffered second hip fractures.
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Conclusion & Impact:Log-rank test showed significantly longer survival in females (p
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to investigate the significance of demographic and clinical factors on incidence of second (contralateral) hip fracture in elderly Hungarian population using the nationwide health insurance database in Hungary.Patients and methods: The study included a total of 3,783 patients (917 males, 2,866 females) treated for primary monotraumatic femoral neck fractures caused by low-energy trauma in the year 2000. Cox regression and Kaplan-Meier survival analyses, and log-rank test were performed to evaluate the following prognostic factors: age, gender, place of living, type of primary fracture and surgical intervention, hospital providing treatment for primary fracture, and comorbidities.Results: A total of 312 patients (8.2%) suffered second hip fractures. The univariate Cox regression analysis showed a significantly higher risk for second hip fracture in patients having advanced age (p=0.001), female gender (p=0.022), living in capital (p=0.024), and having arthroplasty (p=0.001). Advanced age (p≤0.001) and having arthroplasty (p=0.004) were significant risk factors for second hip fractures according to multivariate analysis. Log-rank test showed significantly longer survival in females (p

Özet

Amaç: Bu çalışmada demografik ve klinik etkenlerin ileri yaşlı Macar nüfusunda ikinci (kontralateral) kalça kırığı insidansı üzerindeki önemi Macaristan'daki ulusal sağlık sigortası veri tabanı kullanılarak araştırıldı.Hastalar ve yöntemler: Çalışmaya 2000 yılında düşük enerjili travma nedeniyle primer monotravmatik femur boyun kırıkları için tedavi edilen toplam 3.783 hasta (917 erkek, 2.866 kadın) dahil edildi. Aşağıdaki prognostik etkenleri değerlendirmek için Cox regresyon ve Kaplan-Meier sağkalım analizleri ve log sıra testi uygulandı: Yaş, cinsiyet, yaşanan yer, primer kırık tipi ve cerrahi girişim, primer kırık için tedavi veren hastane ve eşlik eden hastalıklar.Bulgular: Toplam 312 hastada (%8.2) ikinci kalça kırığı vardı. Tek değişkenli Cox regresyon analizi ikinci kalça kırığı için daha yaşlı (p=0.001), kadın cinsiyetli (p=0.022), başkentte yaşayan (p=0.024) ve artroplastisi olan (p=0.001) hastalarda anlamlı derecede daha yüksek risk gösterdi. Çok değişkenli analize göre, daha yaş (p

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Cite This Article

JUHÁSZ, K., HABİL, I. B., PATCZAİ, B., MİNTÁL, T., HABİL, A. S. (2022). İleri yaşlılarda femur boyun kırıklarını takiben kontralateral kalça kırıkları için risk faktörleri: Macaristan ulusal sağlık sigortası veri tabanının incelenmesi. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 27 - Sayı: 3, 146–152. https://ajindex.com/articles/498515

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