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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Risk factors for hip fracture in older home care clients.
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Risk factors for hip fracture in older home care clients.

机译：老年家庭护理客户髋部骨折的危险因素。

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摘要

BACKGROUND: Little information is available on hip fracture risks among community-dwelling persons receiving home care. Our aim was to identify risk factors for hip fracture from health information routinely collected for older home care clients. METHODS: This was a cohort study involving secondary analysis of data on 40,279 long-stay (>60 days) home care clients aged 65 and older in Ontario, Canada; occurrence of hip fracture as well as potential risk factor information were measured using the Resident Assessment Instrument (RAI)/Minimum Data Set-Home Care assessment instrument. RESULTS: In all, 1,003 clients (2.5%) had hip fracture on follow-up assessment. Older (85+ vs 65-74, relative risk [95% confidence interval]: 0.52 [0.43-0.64]) clients are at increased risk; males are at reduced risk [0.60 (0.51-0.70)]. Other risk factors include osteoporosis (1.19 [1.03-1.36]), falls (1.31 [1.15-1.49]), unsteady gait (1.18 [1.03-1.36]), use of ambulation aide (1.39 [1.21-1.59]), tobacco use (1.42, [1.13-1.80]), severe malnutrition (2.61 [1.67-4.08]), and cognitive impairment (1.30 [1.12-1.51]). Arthritis (0.86 [0.76-0.98]) and morbid obesity (0.34 [0.16-0.72]) were associated with reduced risk. Males and females demonstrated different risk profiles. CONCLUSIONS: Important risk factors for hip fracture can be identified from routinely collected data; these could be used to identify at-risk clients for further investigation and prevention strategies.
机译：背景：在接受家庭护理的社区居民中，关于髋部骨折风险的信息很少。我们的目标是从定期为老年家庭护理客户收集的健康信息中识别髋部骨折的危险因素。方法：这是一项队列研究，涉及对加拿大安大略省40,279名65岁及以上长住（> 60天）长期居家护理客户的数据进行二次分析。使用常驻评估仪器（RAI）/最小数据集家庭护理评估仪器测量髋部骨折的发生率以及潜在的危险因素信息。结果：在随访评估中，共有1,003位客户（2.5％）患有髋部骨折。年龄较大的客户（85岁以上vs 65-74岁，相对风险[95％置信区间]：0.52 [0.43-0.64]）的风险更高;男性患病风险降低[0.60（0.51-0.70）]。其他危险因素包括骨质疏松症（1.19 [1.03-1.36]），跌倒（1.31 [1.15-1.49]），步态不稳（1.18 [1.03-1.36]），使用走动助手（1.39 [1.21-1.59]），吸烟（1.42，[1.13-1.80]），严重营养不良（2.61 [1.67-4.08]）和认知障碍（1.30 [1.12-1.51]）。关节炎（0.86 [0.76-0.98]）和病态肥胖（0.34 [0.16-0.72]）与降低的风险相关。男性和女性表现出不同的风险状况。结论：可以从常规收集的数据中识别出髋部骨折的重要危险因素。这些可用于识别有风险的客户，以进行进一步的调查和预防策略。

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