Titre :
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Effects of alcohol-related disease on hip fracture and mortality : a retrospective cohort study of hospitalized medicare beneficiaries. (2001)
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Auteurs :
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ZHONG YUAN . (.) ;
Randall CEBUL ;
Gregory-S COOPER ;
Neal DAWSON ;
Douglas EINSTADTER ;
Alfred-A RIMM ;
Center for Health Care Research and Policy. Department of Medicine. MetroHealth Medical Center. Cleveland. USA ;
Department of Epidemiology and Biostatistics. Case Western Reserve University School of Medicine. Cleveland. OH. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 91, n° 7, 2001)
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Pagination :
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1089-1093
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Langues:
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Anglais
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Mots-clés :
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Personne âgée
;
Homme
;
Mortalité
;
Hanche
;
Fracture
;
Alcoolisme
;
Facteur risque
;
Epidémiologie
;
Traumatisme
;
Système ostéoarticulaire [pathologie]
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Résumé :
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[BDSP. Notice produite par INIST-CNRS C6O2R0x1. Diffusion soumise à autorisation]. Objectives, This study investigated the effect of alcohol-related disease on hip fracture and mortality. Methods. A retropective cohort design was used. The study cohort consisted of hospitalized Medicare beneficiaries with alcohol-related disease (n=150119) and randomly matched controls without alcohol-related disease (n=726218) identified through the 1988-1989 inpatient claims file. Incidence rates of hip fracture and mortality were examined. Results. During the study period, 20620 patients developed hip fracture, with 6973 cases among patients with alcohol-related disease and 13647 cases among patients without alcohol-related disease. After adjustment for potential confounders, patients with alcohol-related disease had a 2.6-fold increased risk of hip fracture relative to patients without alcohol-related disease (65% confidence interval=2.5,2.6). Patients with alcohol-related disease had a higher risk of mortality a 1 year after hip fracture. Conclusions. Alcohol-related disease inscreases the risk of hip fracture significantly and reduces long-term survival. The present results suggest that patients hospitalized for alcohol-related disease should be targeted for hip fracture prevention programs.
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