2026-04-17T14:07:05Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.12328/41842025-05-16T12:54:31Zcom_2072_67741col_2072_484352

00925njm 22002777a 4500 dc Surís, Xavier author Rodríguez, Clara author Llargués Rocabruna, Esteve author Pueyo-Sánchez, Maria-Jesús author Larrosa, Marta author 2024 To describe the secular trend and seasonality of the incidence of hip fracture (HF) and its relationship with climatic variables during the period 2010–2019 in Catalonia in people aged ≥ 65 years. The results were analyzed by sex, age groups (65–74, 75–84, and ≥ 85), and types of fracture (extracapsular and intracapsular). Data on sex, age, type of fracture, year, and month of hospitalization of patients admitted with a diagnosis of HF between January 1, 2010 and December 31, 2019 were collected. Crude and standardized HF incidence (HFi) rates were obtained. Data on the monthly mean of climatological variables (temperature, insolation, icy days, rain, relative humidity, atmospheric pressure, and wind force) were obtained from the network of meteorological stations in Catalonia. Time series analytical statistics were used to identify trends and seasonality. Linear regression and a seasonal autoregressive integrated moving average (ARIMA) were used to analyze the relationship of each climatic parameter with fracture rates. In addition, generalized additive models were used to ascertain the best predictive model. The total number of HF episodes was 90,149 (74.1% in women and 25.9% in men). The total number of HFs increased by 6.4% between 2010 and 2019. The median age (SD) was 84.5 (7.14) and 54% of patients were ≥ 85 years of age. Extracapsular fractures were the most common (55%). The standardized incidence rates decreased from 728.1/100,000 (95% CI 738.6–769.3) to 624.5/100,000 (95% CI 648.7–677.0), which represents a decrease of 14.2% (p < 0.05). The decline was greater at older ages. There were seasonal variations, with higher incidences in autumn (27.2%) and winter (25.7%) and lower rates in summer (23.5%) and spring (23.6%). Seasonality was more pronounced in elderly people and men. In the bivariate regression analysis, high temperatures and greater insolation were negatively associated with the HF rate, while the number of icy days, rainy days, and high relative humidity were associated with a higher incidence of fractures in all age groups and sexes. In the regression analysis using the seasonal ARIMA model, only insolation had a consistently significant association with overall HFi, after adjusting by trend and other climatic parameters. While the global number of HFs grew in Catalonia due to increases in the elderly population, the standardized HF rate decreased during the years 2010–2019. There was a seasonal trend, with predominance in the cold months and correlations with climatic parameters, especially with insolation. Surís, Xavier; Rodríguez, Clara; Llargués, Esteve [et al.]. Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate. Calcified Tissue International, 2024, 114, p. 326-339. Disponible en: <https://link.springer.com/article/10.1007/s00223-024-01182-8>. Fecha de acceso: 4 abr. 2024. DOI: 10.1007/s00223-024-01182-8 1432-0827 http://hdl.handle.net/20.500.12328/4184 https://dx.doi.org/10.1007/s00223-024-01182-8 Fractura de maluc Epidemiologia Ratio d'incidència Presentació de temporada Osteoporosi Clima Radiació Fractura de cadera Epidemiología Relación de tasa de incidencia Presentación estacional Osteoporosis Clima Radiación Hip fracture Epidemiology Incidence rate ratio Seasonal presentation Osteoporosis Climate Weather Radiation Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate