Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate
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 (extracaps...
| Authors: | , , , , |
|---|---|
| Format: | article |
| Publication Date: | 2024 |
| Country: | España |
| Institution: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repository: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:20.500.12328/4184 |
| Online Access: | http://hdl.handle.net/20.500.12328/4184 https://dx.doi.org/10.1007/s00223-024-01182-8 |
| Access Level: | Open access |
| Keyword: | 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 Radiación Hip fracture Epidemiology Incidence rate ratio Seasonal presentation Climate Weather Radiation 61 |
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Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate |
| title |
Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate |
| spellingShingle |
Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate Surís, Xavier 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 61 |
| title_short |
Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate |
| title_full |
Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate |
| title_fullStr |
Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate |
| title_full_unstemmed |
Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate |
| title_sort |
Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climate |
| dc.creator.none.fl_str_mv |
Surís, Xavier Rodríguez, Clara Llargués Rocabruna, Esteve Pueyo-Sánchez, Maria-Jesús Larrosa, Marta |
| author |
Surís, Xavier |
| author_facet |
Surís, Xavier Rodríguez, Clara Llargués Rocabruna, Esteve Pueyo-Sánchez, Maria-Jesús Larrosa, Marta |
| author_role |
author |
| author2 |
Rodríguez, Clara Llargués Rocabruna, Esteve Pueyo-Sánchez, Maria-Jesús Larrosa, Marta |
| author2_role |
author author author author |
| dc.subject.none.fl_str_mv |
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 61 |
| topic |
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 61 |
| description |
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. |
| publishDate |
2024 |
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2024 |
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info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/20.500.12328/4184 https://dx.doi.org/10.1007/s00223-024-01182-8 |
| url |
http://hdl.handle.net/20.500.12328/4184 https://dx.doi.org/10.1007/s00223-024-01182-8 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Calcified Tissue International 114 |
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http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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14 |
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Springer Nature |
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Springer Nature |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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1869406960160342016 |
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Trend and seasonality of hip fractures in Catalonia, Spain: exploring the influence of climateSurís, XavierRodríguez, ClaraLlargués Rocabruna, EstevePueyo-Sánchez, Maria-JesúsLarrosa, MartaFractura de malucEpidemiologiaRatio d'incidènciaPresentació de temporadaOsteoporosiClimaRadiacióFractura de caderaEpidemiologíaRelación de tasa de incidenciaPresentación estacionalOsteoporosisClimaRadiaciónHip fractureEpidemiologyIncidence rate ratioSeasonal presentationOsteoporosisClimateWeatherRadiation61To 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.info:eu-repo/semantics/publishedVersionSpringer Nature2024info:eu-repo/semantics/article14http://hdl.handle.net/20.500.12328/4184https://dx.doi.org/10.1007/s00223-024-01182-8reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésCalcified Tissue International114This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/41842026-05-29T05:05:01Z |
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15,81155 |