PDF(Pubmed)
Abstract：
Life expectancy in sub-Saharan Africa (SSA) has increased owing to economic growth and improvements in medical care. An increased representation of older people among orthopaedic trauma victims is a significant consequence of population ageing, as shown in previous studies, including few in SSA. This retrospective review in Nigeria aims to corroborate previous studies and highlight the emergence of geriatric orthopaedic trauma (GOT) as a public health concern in SSA. Among 241 orthopaedic trauma in-patients aged ≥ 60, the mortality rate was 3.7%. They made up 21.2% of adult orthopaedic trauma admissions. The incidence of GOT increased steadily over the five-year study period with a spike during COVID-19 lockdown. Males constituted 51%. Mean age was 72.5 years (range, 60-105 years). Mean distance to the hospital was 35.8 km and 50.6% lived farther than 10 km. The main causes of injury were falls (50.6%) and traffic crashes (48.1%). Fractures were the predominant (91.7%) injuries. Univariate analyses revealed significant differences along age and gender stratifications. Longer distance to the hospital significantly delayed presentation. The study supports previous studies and shows that GOT is evolving as a public health concern in SSA. The 2030 Sustainable Development agenda is apt to stem the trend.
摘要：
由于经济增长和医疗保健的改善，撒哈拉以南非洲（SSA）的预期寿命增加了。老年人在骨科创伤受害者中的比例增加是人口老龄化的一个重要后果，如以前的研究所示，包括SSA中的少数。尼日利亚的这项回顾性研究旨在证实先前的研究，并强调老年骨科创伤（GOT）作为SSA公共卫生问题的出现。在241例年龄≥60岁的骨科创伤住院患者中，死亡率为3.7%。他们占成人骨科创伤入院人数的21.2％。在为期五年的研究期间，GOT的发病率稳步上升，在COVID-19封锁期间呈上升趋势。男性占51%。平均年龄为72.5岁(范围，60-105年）。到医院的平均距离为35.8公里，50.6％的人居住在10公里以上。受伤的主要原因是跌倒（50.6％）和交通事故（48.1％）。骨折是主要的（91.7％）损伤。单变量分析显示，年龄和性别分层存在显着差异。到医院的距离较长，明显延迟了就诊时间。该研究支持先前的研究，并表明GOT正在发展成为SSA的公共卫生问题。2030年可持续发展议程很容易遏制这一趋势。
