Cargando…

Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients

BACKGROUND: The older population (≥65 years) has rapidly increased in size in recent years. Among them, the middle-to-oldest-old (≥75 years) tend to have a poor health status. Therefore, subdivision and evaluation of older patients with traumatic injury are required. We focused on the risk of femora...

Descripción completa

Detalles Bibliográficos
Autores principales: Jang, Jung Min, Choi, Han Sung, Lee, Jong Seok, Jeong, Ki Young, Hong, Hoon Pyo, Ko, Seok Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Geriatrics Society 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370770/
https://www.ncbi.nlm.nih.gov/pubmed/32743300
http://dx.doi.org/10.4235/agmr.19.0027
_version_ 1783561037046349824
author Jang, Jung Min
Choi, Han Sung
Lee, Jong Seok
Jeong, Ki Young
Hong, Hoon Pyo
Ko, Seok Hoon
author_facet Jang, Jung Min
Choi, Han Sung
Lee, Jong Seok
Jeong, Ki Young
Hong, Hoon Pyo
Ko, Seok Hoon
author_sort Jang, Jung Min
collection PubMed
description BACKGROUND: The older population (≥65 years) has rapidly increased in size in recent years. Among them, the middle-to-oldest-old (≥75 years) tend to have a poor health status. Therefore, subdivision and evaluation of older patients with traumatic injury are required. We focused on the risk of femoral intertrochanteric fractures occurring in older adults due to minor falls and compared young-old and middle-to-oldest-old populations. METHODS: The medical records of patients who visited the emergency center due to hip injuries between March 2017 and March 2019 were retrospectively analyzed. Patients were divided into older adult (≥65 years) and non-older (age 18–64 years) groups; the older adult group was subdivided into young-old (65–74 years), middle-old (75–84 years), and oldest-old (≥85 years) groups. This study investigated the occurrence rate of femoral intertrochanteric fractures and related factors. RESULTS: The older adult group had a higher incidence of femoral intertrochanteric fractures than that in the non-older adult group (95.3% vs. 4.7%, p<0.001). However, there was no significant difference between young-old and non-older groups (58.8% vs. 41.2%, p=0.145). Middle-old to oldest-old age and osteoporosis were associated with an increased incidence of femoral intertrochanteric fractures (p<0.001, p=0.004). CONCLUSION: A higher incidence of femoral intertrochanteric fractures from minor falls was found among middle-old to oldest-old patients compared to that in young-old patients. Therefore, physicians should perform more thorough physical examinations and radiograph reading in middle-old to oldest-old patients even if the patients do not complain of pain.
format Online
Article
Text
id pubmed-7370770
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Korean Geriatrics Society
record_format MEDLINE/PubMed
spelling pubmed-73707702020-07-30 Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients Jang, Jung Min Choi, Han Sung Lee, Jong Seok Jeong, Ki Young Hong, Hoon Pyo Ko, Seok Hoon Ann Geriatr Med Res Original Article BACKGROUND: The older population (≥65 years) has rapidly increased in size in recent years. Among them, the middle-to-oldest-old (≥75 years) tend to have a poor health status. Therefore, subdivision and evaluation of older patients with traumatic injury are required. We focused on the risk of femoral intertrochanteric fractures occurring in older adults due to minor falls and compared young-old and middle-to-oldest-old populations. METHODS: The medical records of patients who visited the emergency center due to hip injuries between March 2017 and March 2019 were retrospectively analyzed. Patients were divided into older adult (≥65 years) and non-older (age 18–64 years) groups; the older adult group was subdivided into young-old (65–74 years), middle-old (75–84 years), and oldest-old (≥85 years) groups. This study investigated the occurrence rate of femoral intertrochanteric fractures and related factors. RESULTS: The older adult group had a higher incidence of femoral intertrochanteric fractures than that in the non-older adult group (95.3% vs. 4.7%, p<0.001). However, there was no significant difference between young-old and non-older groups (58.8% vs. 41.2%, p=0.145). Middle-old to oldest-old age and osteoporosis were associated with an increased incidence of femoral intertrochanteric fractures (p<0.001, p=0.004). CONCLUSION: A higher incidence of femoral intertrochanteric fractures from minor falls was found among middle-old to oldest-old patients compared to that in young-old patients. Therefore, physicians should perform more thorough physical examinations and radiograph reading in middle-old to oldest-old patients even if the patients do not complain of pain. Korean Geriatrics Society 2019-09 2019-09-27 /pmc/articles/PMC7370770/ /pubmed/32743300 http://dx.doi.org/10.4235/agmr.19.0027 Text en Copyright © 2019 Korean Geriatrics Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jang, Jung Min
Choi, Han Sung
Lee, Jong Seok
Jeong, Ki Young
Hong, Hoon Pyo
Ko, Seok Hoon
Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients
title Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients
title_full Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients
title_fullStr Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients
title_full_unstemmed Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients
title_short Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients
title_sort femoral intertrochanteric fractures of the patients in the emergency department due to minor falls: special consideration in the middle-old to oldest-old patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370770/
https://www.ncbi.nlm.nih.gov/pubmed/32743300
http://dx.doi.org/10.4235/agmr.19.0027
work_keys_str_mv AT jangjungmin femoralintertrochantericfracturesofthepatientsintheemergencydepartmentduetominorfallsspecialconsiderationinthemiddleoldtooldestoldpatients
AT choihansung femoralintertrochantericfracturesofthepatientsintheemergencydepartmentduetominorfallsspecialconsiderationinthemiddleoldtooldestoldpatients
AT leejongseok femoralintertrochantericfracturesofthepatientsintheemergencydepartmentduetominorfallsspecialconsiderationinthemiddleoldtooldestoldpatients
AT jeongkiyoung femoralintertrochantericfracturesofthepatientsintheemergencydepartmentduetominorfallsspecialconsiderationinthemiddleoldtooldestoldpatients
AT honghoonpyo femoralintertrochantericfracturesofthepatientsintheemergencydepartmentduetominorfallsspecialconsiderationinthemiddleoldtooldestoldpatients
AT koseokhoon femoralintertrochantericfracturesofthepatientsintheemergencydepartmentduetominorfallsspecialconsiderationinthemiddleoldtooldestoldpatients