Bone fracture nonunion rate decreases with increasing age: A prospective inception cohort study

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• 作者：Robert Zura ; MD^a ; ^{rzura@lsuhsc.edu} ; Mary Jo Braid-Forbes ; MPH^b ; ^{mjbraidforbes@braidforbes.com} ; Kyle Jeray ; MD^c ; ^{KJeray@ghs.org} ; Samir Mehta ; MD^d ; ^{Samir.Mehta@uphs.upenn.edu} ; Thomas A. Einhorn ; MD^e ; ^{Thomas.Einhorn@nyumc.org} ; J. Tracy Watson ; MD^f ; ^{watsonjt@slu.edu} ; Gregory J. Della Rocca ; MD ; PhD^g ; ^{dellaroccag@health.missouri.edu} ; Kevin Forbes ; PhD^h ; ^{forbes@cua.edu} ; R. Grant Steen ; PhDⁱ ; ^{Grant.Steen@bioventusglobal.com}
• 关键词：Geriatric fracture ; Fragility fracture ; Smoking ; Osteoporosis ; Arthritis ; Hypertension
• 刊名：Bone
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：95
• 期：Complete
• 页码：26-32
• 全文大小：379 K
• 卷排序：95

文摘

A prospective cohort of Medicare patients was examined for nonunion risk factors. 47,437 Medicare patients had 56,492 fractures; 2.5% of fractures went to nonunion. Fracture patients were more likely to die within 1 year of fracture (p < 0.0001). Stroke, vascular disease, obesity, alcoholism, and smoking predict death (p < 0.01). People over age 65 had a lower risk-adjusted nonunion rate (p < 0.0001).