The Epidemiology of Hip Fracture among Subjects with Pyogenic Liver Abscess (PLA): A Nationwide Population-Based Study.

Pyogenic liver abscess (PLA) is a potentially fatal disease that can stimulate prominent systemic inflammation. Osteoporotic hip fracture is a major complication of systemic inflammation. This study tried to determine the epidemiology of hip fractures among PLA patients. All subjects admitted due to...

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Publicado en:BioMed Research International pp. 1 - 7
Autores principales: Hsu, Chieh-Cheng, Ko, Jih-Yang, Lin, Cheng-Li, Hsu, Horng-Chaung, Chen, Hsien-Te, Lin, Che-Chen, Kuo, Shu-Jui
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 6/24/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/24/2020
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2020/5901962
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        atl: The Epidemiology of Hip Fracture among Subjects with Pyogenic Liver Abscess (PLA): A Nationwide Population-Based Study.
      aug:
        au:
          Hsu, Chieh-Cheng
          Ko, Jih-Yang
          Lin, Cheng-Li
          Hsu, Horng-Chaung
          Chen, Hsien-Te
          Lin, Che-Chen
          Kuo, Shu-Jui
        affil: Department of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
      sug:
        subj:
          Liver Abscess, Pyogenic Complications
          Hip Fractures Risk Factors
          Hip Fractures Epidemiology
          Risk Assessment
          Human
          Patient Admission
          Age Factors
          Sex Factors
          Osteoporosis Risk Factors
          Comorbidity
          Suicide Risk Factors
          Incidence
          Regression
          Log-Rank Test
          Prospective Studies
          Adult
          Aged
          Odds Ratio
          Confidence Intervals
          Adult: 19-44 years
          Aged: 65+ years
      ab: Pyogenic liver abscess (PLA) is a potentially fatal disease that can stimulate prominent systemic inflammation. Osteoporotic hip fracture is a major complication of systemic inflammation. This study tried to determine the epidemiology of hip fractures among PLA patients. All subjects admitted due to PLA during 1999∼2010 were assessed, excluding the subjects with a history of high energy trauma, malignancy, and previous hip fracture. We matched the control subjects to PLA patients according to age, gender, and the coding of osteoporosis by 1 : 4 ratio. The PLA patients had a 1.17-fold risk of hip fracture than the controls (aHR = 1.17, 95% CI = 1.07–1.29) after adjusting for gender, age, and comorbidities. Considering death as the competing event of suicide, the PLA patients had 1.10-fold suicide risk (aHR = 1.10, 95% CI: 1.00–1.21) than the control subjects under the competing risks regression model. The cumulative incidence of hip fracture was higher in the PLA cohort (log-rank test, p < 0.001). When compared to the controls, the fracture risk was 18.4-fold (aHR = 18.4, 95% CI = 13.0–26.1) for the PLA patients admitted 2-3 times per year and 46.0-fold (aHR = 46.0, 95% CI = 31.2–67.8) for the PLA patients admitted ≧4 times per year. The impact of PLA is more prominent among the subjects aged <45 years (aHR = 2.81, 95% CI = 1.42–5.56). Preventive measures for hip fracture might be warranted for PLA patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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