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首页> 外文期刊>Patient Preference and Adherence >Are night-time voiding and lower urinary tract symptoms significant risk factors for hip fractures caused by falling during the night in male subjects?
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Are night-time voiding and lower urinary tract symptoms significant risk factors for hip fractures caused by falling during the night in male subjects?

机译：在男性受试者中，夜间排尿和下尿路症状是否是夜间摔倒导致髋部骨折的重要危险因素？

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Objectives: The aim of our study was to assess the incidence of night-time voiding in a population of male patients with hip fracture, and to analyze the correlations between the severity of the lower urinary symptoms and the other most significant comorbidities of the patients. Patients and methods: We have initially selected a group of patients containing all males admitted into a Department of Orthopedic Surgery with the diagnosis of hip fracture, with indication for replacement surgery, over a four-year period. Applying well-defined inclusion and exclusion criteria, we have selected all the patients who have reported that falling during the night, on the way to the toilet (for micturition), was the event leading to the hip fracture. A comprehensive medical history and the International Prostate Symptom Score (IPSS) Questionnaire were gathered from all the patients and the obtained data were analyzed. Results: From a total of 363 patients with hip fractures, 68 cases were attributable to night-time voiding. The detailed analysis of the 68 patients has shown that all of them had significant nocturia (2.72 episodes of voiding per night, in average), but only 11 of them were already diagnosed with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). Moreover, only four of the eleven patients diagnosed with BPH were taking specific therapy at the moment of their falling leading to hip fracture. Subsequent analysis has shown that a group of 45 patients with no previously known co-morbidities, had similar IPSS score results with the total group of 68 patients. Conclusions: Night-time voiding and LUTS are underdiagnosed in the general male population, as they represent significant risk factors for hip fractures due to falling during the night. The low level of BPH/LUTS therapy adherence adds a supplementary risk for falling during the night.
机译：目的：我们的研究目的是评估男性髋部骨折患者中夜间排尿的发生率，并分析下尿路症状的严重程度与患者其他合并症之间的相关性。患者和方法：我们最初选择了一组患者，其中包括所有在四年内被诊断为髋部骨折并建议进行替代手术的骨科手术的男性患者。应用明确的纳入和排除标准，我们选择了所有报告在夜间通入厕所（排尿）的患者跌倒是导致髋部骨折的患者。收集所有患者的全面病史和国际前列腺症状评分（IPSS）问卷，并对获得的数据进行分析。结果：在总共363例髋部骨折患者中，有68例归因于夜间排尿。对68例患者的详细分析显示，所有患者均具有明显的夜尿症（平均每晚排尿2.72次），但只有11例已因良性前列腺增生而被诊断出下尿路症状（LUTS）（ BPH）。此外，被诊断为BPH的11位患者中只有4位在跌倒导致髋部骨折时正在接受特殊治疗。随后的分析表明，一组45例以前没有合并症的患者，其IPSS评分结果与68例患者相似。结论：在普通男性人群中，夜间排尿和LUTS的诊断不足，因为它们是夜间跌倒造成髋部骨折的重要危险因素。 BPH / LUTS治疗依从性较低会增加夜间跌倒的风险。

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