Düşme sonrası proksimal femur kırığı ile acil servise başvuran yaşlı hastalarda kırık tipi ve travma oluş zamanı arasındaki ilişki
Abstract
Amaç: Günün saatinin düşmeye bağlı kalça kırığı tipini etkileyip etkilemediğini araştırmak.
Gereç ve Yöntem: Bu retrospektif çalışmaya, 2012–2022 yılları arasında düşme nedeniyle kalça kırığı tanısı alan hastalar dahil edildi. Kırık oluş zamanı gündüz (09:00–16:59) ve gece (17:00–08:59) olarak ikiye ayrıldı. Hastalar bu zaman dilimlerine göre gruplandırıldı ve gruplar arası kırık tipi farklarını değerlendirmek amacıyla demografik ve radyolojik veriler analiz edildi.
Bulgular: Toplam 935 hasta çalışmaya dahil edildi. Gündüz saatlerinde daha sık intrakapsüler kırıklar, gece saatlerinde ise daha sık ekstrakapsüler kırıklar görüldü (p=0.003). İntrakapsüler kırıklar en sık 13:00 civarında, ekstrakapsüler kırıklar ise 11:00 civarında meydana geldi.
Sonuç: Kalça kırıkları en sık gündüz saatlerinde, özellikle öğle saatlerinde meydana geldi. İntrakapsüler kırıklar gündüz, ekstrakapsüler kırıklar ise gece saatlerinde anlamlı olarak daha sık görüldü.
Ethical Statement
This study was conducted with the necessary approval from the Adıyaman University Non-Interventional Clinical Research Ethics Committee (Ethics committee approval number: 2022/8-7 and date: 15.11.2022). This study was conducted in accordance with the principles of the Declaration of Helsinki. Informed consent form were obtained from all patients.
Supporting Institution
There is no person/organization supporting this study financially.
References
- Giovannini S, Brau F, Galluzzo V, et al. Falls among Older Adults: Screening, Identification, Rehabilitation, and Management. Applied Sciences. 2022; 12(15):7934.
- Mehta J, Knowles K, Wilson E. Prevalence of Falls in Patients Presenting to an Ophthalmic Outpatients Department—A Surveillance Study. Br. Ir. Orthopt. J. 2021; 17: 134–41.
- Steenkamp C, Kong VY, Clarke DL, et al. The effect of systematic factors on the outcome of trauma laparotomy at a major trauma centre in South Africa. Ann R Coll Surg Engl 2017; 99:540–4.
- Hogea B, Bardan R, Sandesc M, et al. Are night-time voiding and lower urinary tract symptoms significant risk factors for hip fractures caused by falling during the night in male subjects? Patient Prefer Adherence. 2019; 13:1191-97.
- Dykes PC, Burns Z, Adelman J, et al. Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial. JAMA Netw Open. 2020;3(11): e2025889.
- Florence CS, Bergen G, Atherly A, et al. Medical Costs of Fatal and Nonfatal Falls in Older Adults. J Am Geriatr Soc. 2018 Apr;66(4):693-98.
- Alic T, Zehir S. Have mortality rates in elderly patients with hip fractures changed during pandemic? Eur Rev Med Pharmacol Sci. 2023;27(2):524-31.
- Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018;49(8):1458–60.
- Chen CC, Chen CH, Kuo YJ, et al. The Relationship Between the Time and Location Distribution of Falls in Elderly Hip Fracture Patients and Clinical Characteristics. Research Square. Publish Online: 29 March 2024.
- Chen YP, Kuo YJ, Liu CH, et al. Prognostic factors for 1-yearfunctional outcome, quality of life, care demands, and mortality after surgery in Taiwanese geriatricpatients with a hip fracture: a prospective cohort study. Ther Adv Musculoskelet Dis. 2021; 13:1759720x211028360.
- De Andrea S, Lucenteforte E, Bravi F, et al. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010; 21:658– 68.
- Patrascu JM, Vermesan D, Mioc ML, et al. Musculo-skeletal tumors incidence and surgical treatment – a single center 5-year retrospective. Eur Rev Med Pharmacol Sci. 2014; 18:3898–3901.
- Lord SR, Close JCT. New horizons in falls prevention. Age Ageing. 2018; 47(4):492–8.
- Molés Julio MP, Lavedán Santamaría A, Botigué Satorra T, et al. Characteristics and Circumstances of Falls in the Community-Dwelling Older Adult Population. J Prim Care Community Health. 2020; 11:2150132720940508.
- Formiga F, Lopez-Soto A, Duaso E, et al. Characteristics of falls producing hip fractures in nonagenarians. J Nutr Health Aging. 2008;12(9):664–67.
- Oliver D, Healey F, Haines TP. Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med. 2010; 26(4):645–92.
- Leavy B, Aberg AC, Melhus H, et al. When and where do hip fractures occur? A population-based study. Osteoporos Int. 2013;24(9):2387–2396.
- Kitamura T, Kiyohara K, Nitta M, et al. Survival following witnessed pediatric out-of-hospital cardiac arrests during nights and weekends. Resuscitation. 2014; 85:1692–8.
- Hirose T, Kitamura T, Katayama Y, et al. Impact of nighttime and weekends on outcomes of emergency trauma patients: A nationwide observational study in Japan. Medicine (Baltimore). 2020 Jan;99(1): e18687.
- Guzon-Illescas O, Perez Fernandez E, Crespí Villarias N, et al. Mortality after osteoporotic hip fracture: incidence, trends, and associated factors. J Orthop Surg Res. 2019;14(1):203.
- Court-Brown CM, Caesar, B. Epidemiology of adult fractures: A review. Injury. 2006; 37(8): 691–697.
- Bäcker, H. C. et al. Epidemiology of proximal femoral fractures. J. Clin. Orthop. Trauma. 2021; 12(1): 161–165.
- Zhu Y, Chen W, Sun T, et al. Epidemiological characteristics and outcome in elderly patients sustaining non-simultaneous bilateral hip fracture: a systematic review and meta-analysis. Geriatr Gerontol Int. 2015;15(1):11-8.
- Crawford JR, Parker MJ. Seasonal variation of proximal femoral fractures in the United Kingdom. Injury. 2003;34(3):223-5.
- Johansen A, Grose C, Havelock W. Hip fractures in the winter- Using the National Hip Fracture Database to examine seasonal variation in incidence and mortality. Injury. 2020;51(4):1011-1014.
- Bulajic-Kopjar M. Seasonal variations in incidence of fractures among elderly people. Inj Prev. 2000; 6:16–9.
- Kim M, Chang M, Nam E, et al. Fall characteristicsamong elderly populations in urban and rural areas in Korea. Medicine (Baltimore). 2020;99(46): e23106.
The relationship between fracture type and time of trauma in elderly patients admitted to the emergency department with proximal femur fracture after a fall
Abstract
Aim: To investigate whether the time of day affects the type of fall-related hip fracture.
Materials and Methods: This retrospective study included patients diagnosed with hip fracture due to falls between 2012 and 2022. Fracture times were categorized as daytime (09:00–16:59) and nighttime (17:00–08:59). Patients were grouped accordingly, and demographic and radiological data were analyzed to assess differences in fracture types between groups.
Results: Among 935 patients, intracapsular fractures were more common during the day, while extracapsular fractures were more common at night (p=0.003). Intracapsular fractures peaked at 13:00; extracapsular at 11:00.
Conclusion: Hip fractures occurred most frequently during the day, especially at noon. Intracapsular fractures were significantly more common in daytime, extracapsular at night.
Ethical Statement
This study was conducted with the necessary approval from the Adıyaman University Non-Interventional Clinical Research Ethics Committee (Ethics committee approval number: 2022/8-7 and date: 15.11.2022). This study was conducted in accordance with the principles of the Declaration of Helsinki. Informed consent form were obtained from all patients.
Supporting Institution
There is no person/organization supporting this study financially.
References
- Giovannini S, Brau F, Galluzzo V, et al. Falls among Older Adults: Screening, Identification, Rehabilitation, and Management. Applied Sciences. 2022; 12(15):7934.
- Mehta J, Knowles K, Wilson E. Prevalence of Falls in Patients Presenting to an Ophthalmic Outpatients Department—A Surveillance Study. Br. Ir. Orthopt. J. 2021; 17: 134–41.
- Steenkamp C, Kong VY, Clarke DL, et al. The effect of systematic factors on the outcome of trauma laparotomy at a major trauma centre in South Africa. Ann R Coll Surg Engl 2017; 99:540–4.
- Hogea B, Bardan R, Sandesc M, et al. Are night-time voiding and lower urinary tract symptoms significant risk factors for hip fractures caused by falling during the night in male subjects? Patient Prefer Adherence. 2019; 13:1191-97.
- Dykes PC, Burns Z, Adelman J, et al. Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial. JAMA Netw Open. 2020;3(11): e2025889.
- Florence CS, Bergen G, Atherly A, et al. Medical Costs of Fatal and Nonfatal Falls in Older Adults. J Am Geriatr Soc. 2018 Apr;66(4):693-98.
- Alic T, Zehir S. Have mortality rates in elderly patients with hip fractures changed during pandemic? Eur Rev Med Pharmacol Sci. 2023;27(2):524-31.
- Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018;49(8):1458–60.
- Chen CC, Chen CH, Kuo YJ, et al. The Relationship Between the Time and Location Distribution of Falls in Elderly Hip Fracture Patients and Clinical Characteristics. Research Square. Publish Online: 29 March 2024.
- Chen YP, Kuo YJ, Liu CH, et al. Prognostic factors for 1-yearfunctional outcome, quality of life, care demands, and mortality after surgery in Taiwanese geriatricpatients with a hip fracture: a prospective cohort study. Ther Adv Musculoskelet Dis. 2021; 13:1759720x211028360.
- De Andrea S, Lucenteforte E, Bravi F, et al. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010; 21:658– 68.
- Patrascu JM, Vermesan D, Mioc ML, et al. Musculo-skeletal tumors incidence and surgical treatment – a single center 5-year retrospective. Eur Rev Med Pharmacol Sci. 2014; 18:3898–3901.
- Lord SR, Close JCT. New horizons in falls prevention. Age Ageing. 2018; 47(4):492–8.
- Molés Julio MP, Lavedán Santamaría A, Botigué Satorra T, et al. Characteristics and Circumstances of Falls in the Community-Dwelling Older Adult Population. J Prim Care Community Health. 2020; 11:2150132720940508.
- Formiga F, Lopez-Soto A, Duaso E, et al. Characteristics of falls producing hip fractures in nonagenarians. J Nutr Health Aging. 2008;12(9):664–67.
- Oliver D, Healey F, Haines TP. Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med. 2010; 26(4):645–92.
- Leavy B, Aberg AC, Melhus H, et al. When and where do hip fractures occur? A population-based study. Osteoporos Int. 2013;24(9):2387–2396.
- Kitamura T, Kiyohara K, Nitta M, et al. Survival following witnessed pediatric out-of-hospital cardiac arrests during nights and weekends. Resuscitation. 2014; 85:1692–8.
- Hirose T, Kitamura T, Katayama Y, et al. Impact of nighttime and weekends on outcomes of emergency trauma patients: A nationwide observational study in Japan. Medicine (Baltimore). 2020 Jan;99(1): e18687.
- Guzon-Illescas O, Perez Fernandez E, Crespí Villarias N, et al. Mortality after osteoporotic hip fracture: incidence, trends, and associated factors. J Orthop Surg Res. 2019;14(1):203.
- Court-Brown CM, Caesar, B. Epidemiology of adult fractures: A review. Injury. 2006; 37(8): 691–697.
- Bäcker, H. C. et al. Epidemiology of proximal femoral fractures. J. Clin. Orthop. Trauma. 2021; 12(1): 161–165.
- Zhu Y, Chen W, Sun T, et al. Epidemiological characteristics and outcome in elderly patients sustaining non-simultaneous bilateral hip fracture: a systematic review and meta-analysis. Geriatr Gerontol Int. 2015;15(1):11-8.
- Crawford JR, Parker MJ. Seasonal variation of proximal femoral fractures in the United Kingdom. Injury. 2003;34(3):223-5.
- Johansen A, Grose C, Havelock W. Hip fractures in the winter- Using the National Hip Fracture Database to examine seasonal variation in incidence and mortality. Injury. 2020;51(4):1011-1014.
- Bulajic-Kopjar M. Seasonal variations in incidence of fractures among elderly people. Inj Prev. 2000; 6:16–9.
- Kim M, Chang M, Nam E, et al. Fall characteristicsamong elderly populations in urban and rural areas in Korea. Medicine (Baltimore). 2020;99(46): e23106.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery (Other) |
| Journal Section | Research Article |
| Authors | |
| Publication Date | April 23, 2025 |
| Submission Date | January 30, 2025 |
| Acceptance Date | March 12, 2025 |
| Published in Issue | Year 2025 Volume: 11 Issue: 1 |
Cite
