دورية أكاديمية

The Korean hip fracture registry study.

التفاصيل البيبلوغرافية
العنوان: The Korean hip fracture registry study.
المؤلفون: Park JW; Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea., Ha YC; Department of Orthopaedic Surgery, Seoul Bumin Hospital, Seoul, South Korea., Kim JW; Department of Orthopaedic Surgery, Nowon Eulji Medical Center, Seoul, South Korea., Kim TY; Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, South Korea., Kim JW; Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea., Baek SH; Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea., Lee YK; Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea. ykleemd@gmail.com., Koo KH; Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2023 Jun 02; Vol. 24 (1), pp. 449. Date of Electronic Publication: 2023 Jun 02.
نوع المنشور: Observational Study; Multicenter Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Hip Fractures*/diagnostic imaging , Hip Fractures*/epidemiology , Hip Fractures*/surgery , Osteoporotic Fractures*/diagnostic imaging , Osteoporotic Fractures*/epidemiology , Osteoporotic Fractures*/surgery, Adult ; Humans ; Prospective Studies ; Cohort Studies ; Hand Strength ; Longitudinal Studies ; Registries ; Republic of Korea/epidemiology
مستخلص: Background: The purpose of the Korean Hip Fracture Registry (KHFR) Study is to establish a nationwide, hospital-based prospective cohort study of adults with hip fracture to explore the incidence and risk factors of second osteoporotic fractures for a Fracture Liaison Service (FLS) model.
Methods: The KHFR, a prospective multicenter longitudinal study, was launched in 2014. Sixteen centers recruited participants who were treated for hip fracture. The inclusion criteria were patients, who were treated for proximal femur fracture due to low-energy trauma and aged 50 or more at the time of injury. Until 2018, 5,841 patients were enrolled in this study. Follow-up surveys were conducted annually to determine occurrence of second osteoporotic fracture, and 4,803 participants completed at least one follow-up survey.
Discussion: KHFR is a unique resource of individual level on osteoporotic hip fracture with radiological, medical, and laboratory information including DXA (dual energy x-ray absorptiometry), bone turnover marker, body composition, and hand grip strength for future analyses for FLS model. Modifiable factors for mortality after hip surgery is planned to be identified with nutritional assessment and multi-disciplinary interventions from hospitalization to follow-ups. The proportions of femoral neck, intertrochanteric, and subtrochanteric fractures were 517 (42.0%), 730 (53.6%), and 60 (4.4%), respectively, from 2014 to 2016, which was similar in other studies. Radiologic definition of atypical subtrochanteric fracture was adopted and 17 (1.2%) fractures among 1,361 proximal femoral fractures were identified. Internal fixation showed higher reoperation rate compared to arthroplasty in unstable intertrochanteric fractures (6.1% vs. 2.4%, p = 0.046) with no significant difference in mortality. The KHFR plans to identify outcomes and risk factors associated with second fracture by conducting a 10-year cohort study, with a follow-up every year, using 5,841 baseline participants.
Trial Registration: Present study was registered on Internet-based Clinical Research and Trial management system (iCReaT) as multicenter prospective observational cohort study (Project number: C160022, Date of registration: 22th, Apr, 2016).
(© 2023. The Author(s).)
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معلومات مُعتمدة: HC15C1189 Korea Health Industry Development Institute,South Korea; HC15C1189 Korea Health Industry Development Institute,South Korea; HC15C1189 Korea Health Industry Development Institute,South Korea; HC15C1189 Korea Health Industry Development Institute,South Korea; HC15C1189 Korea Health Industry Development Institute,South Korea; HC15C1189 Korea Health Industry Development Institute,South Korea; HC15C1189 Korea Health Industry Development Institute,South Korea; HC15C1189 Korea Health Industry Development Institute,South Korea
فهرسة مساهمة: Keywords: Fracture liaison service; Hip fracture; Osteoporotic fracture; Registry study; Second fracture
تواريخ الأحداث: Date Created: 20230602 Date Completed: 20230605 Latest Revision: 20230605
رمز التحديث: 20230605
مُعرف محوري في PubMed: PMC10236602
DOI: 10.1186/s12891-023-06546-z
PMID: 37268896
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-023-06546-z