The Clinical Risk Factors Research Of Hip Fracture In Beijing

Hip Fracture, a type of disease mostly occurred among elderly people, has become a public health problem that viciously threats people’s health.1. Purpose: The investigation is conducted aiming at clinical risk factors of patients who suffer from hip fracture and are over50years old in Beijing area, designed to build up a methodology via simple selection of high risk population and undertake inchoate interventions.2. Methodology:The patients in hospital, composed of300people, are chosen from patients with hip fracture. By comparison, another group of300people without the disease is also chosen, among those coming from similar environment, are of similar ages, living in the same communities and with the same gender preference. Conduct interviews towards the fractured group and control group according to the form "Informants with Hip Fracture and Dangerous Factors" designed by our investigating group. Collect the interviewing forms regularly and delegate a specific person for database input and analyze the risk factors.3. Results:The investigating result of clinical risk factors among300patients with hip fracture and300people from the control group is included from January2009to June2010. The ages and sexes of the two group are matched well (x20.000, p=1.000).1) Falling forms the major reason of hip fracture, accounting for76.2%, especially, females’ falling accounts for86%of all female patients.2) The clinical risk factors of the hip fracture multi-factors logistic regression analysis for the whole group is:long-time for seat and light physical labor; drinking coffee; Medical history of fracture; Hanging out by walking and cycling; diabetes; osteoporosis; smoking. Preventing hip fracture from daily beans consumables.3) Clinical risk multi-factors logistic regression analysis for male’s hip fracture are concluded as medical history of fracture; Long-time for seat and light physical labor; Diabetes mellitus; Hanging out by walking and cycling; None tertiary education; Milk and yoghourt; Osteoporosis. Daily beans consumption help preventing hip fracture.4) Clinical risk multi-factors logistic regression analysis for female’s hip fracture are concluded as long-time for seat and light physical labor; Medical history of fracture; Smoking; Hanging out by walking and cycling; None tertiary education; Osteoporosis.5) Clinical risk multi-factors logistic regression analysis for entire crowd’s neck femur is concluded as long-time for seat and light physical labor; Medical history of fracture; Hanging out by walking and cycling; Osteoporosis. Preventing neck femur from daily beans consumables. 6) Clinical risk multi-factors logistic regression analysis for all intertrochanter fracture of femur are concluded as long-time for seat and light physical labor; Hanging out by walking and cycling.7) With the certification of medical examination, poor eyesight has become a disadvantage to entire crowd, male and female’s hip fracture (p<0.001,0.002,0.001, respectively). Grip strength is disadvantaged for the entire crowd and male’s hip fracture. On the other hand, premature menopause, multiple pregnancy are disadvantaged for female’s hip fracture (p<0.001,0.001,0.05separately).8) Conclusion:This research identifies the clinical risk factors of hip fracture in the following categories:(1) The entire population;(2) All males;(3) All females; and (4) The distinctive risks associated with different parts of the femur neck and intertrochanteric line. Clinical risk factors depend upon both the individual patient’s population category and the location of the hip injury, and as a result clinical treatments should make pointed reference to these respective differences.