Elsevier

Medicina Clínica

Volume 127, Issue 11, September 2006, Pages 401-404
Medicina Clínica

Originales
Incidencia de fractura no vertebral por fragilidad en una cohorte de 5.201 mujeres de 65 años o más durante 3 años de seguimientoFragility non-spinal fractures in a cohort of 5,201 women aged 65 years and older during a 3-year follow-up

https://doi.org/10.1157/13092764Get rights and content

Fundamento y objetivo

Las fracturas no vertebrales por traumatismo leve son una causa creciente de morbimortalidad en los ancianos. Nuestro objetivo ha sido determinar la incidencia de fracturas no vertebrales por traumatismo leve, en conjunto y en las principales localizaciones anatómicas, en una muestra de mujeres españolas.

Pacientes y método

Se incluyó a 5.201 mujeres de 65 años o más seleccionadas mediante un muestreo no probabilístico de casos consecutivos en las consultas de 58 centros de atención primaria de España. El estudio fue de carácter prospectivo y tuvo 3 años de duración, con visitas periódicas cada 6 meses. Se recogieron todas las fracturas no vertebrales por fragilidad confirmadas por radiología o por el informe quirúrgico.

Resultados

Se recogieron 363 fracturas no vertebrales en 311 mujeres (6,0%), tras una mediana de seguimiento de 3,01 años y en un total de 14.999 mujeres/año. La tasa de incidencia de cualquier fractura no vertebral fue de 2.420 por 100.000 mujeres/año. Las tasas de incidencias de fracturas de cadera, antebrazo y húmero fueron de 887, 360 y 333 casos por 100.000 mujeres/año, respectivamente.

Conclusiones

Las fracturas no vertebrales por traumatismo leve en mujeres de 65 años o más tienen una incidencia elevada en España, similar a la de otros países occidentales.

Background and objective

Low-trauma non-spinal fractures are a growing source of morbidity and mortality in the elderly. We aimed to evaluate the overall incidence of low-trauma non-spinal fractures and of the main skeletal sites in a cohort of women from Spain.

Patients and method

A total of 5,201 women, aged 65 or older, were enrolled in a 3-year cohort study by non-probabilistic sampling of consecutive cases in 58 primary care centers in Spain, with 6-month visits. All radiological or surgically confirmed low trauma non-spinal fractures were collected.

Results

311 women (6.0%) sustained a total of 363 fractures after a 3.01-year median follow-up, and 14,999 women-year. The incidence rate of overall non-spinal fractures was 2,420 cases per 100,000 women-year. The incidence rates of hip, forearm and humeral fractures were 887, 369 and 333 cases/100,000 women-year respectively.

Conclusions

Low-trauma non-spinal fractures are highly incident in Spain in women aged 65 years or older, similar to other western countries.

Referencias bibliográficas (23)

  • A.A. Ismail et al.

    Incidence of limb fracture across Europe: results from the European Prospective Osteoporosis Study (EPOS)

    Osteoporos Int

    (2002)
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