161 Does the Weather Contribute to Admissions of Neck of Femur Fractures?

医学 寒冷的天气 股骨 社会经济地位 人口学 最高温度 气候学 气象学 环境科学 环境卫生 外科 地理 地质学 社会学 人口
作者
Louis Koizia,Melanie Dani,Hannah Brown,M Lee,Michael Fertleman
出处
期刊:Age and Ageing [Oxford University Press]
卷期号:50 (Supplement_1): i12-i42
标识
DOI:10.1093/ageing/afab030.122
摘要

Abstract Introduction The effects of weather on overall mortality are well documented. Anecdotally, icy conditions are perceived to result in more falls and admissions for neck of femur (NOF) fractures. The aim of this unfunded pilot study was to determine whether relationships could be extracted or at least not ruled out by analysing a small dataset, and so give impetus to a larger project. Methods Seven trauma units across north west London were identified and NOF fracture data extracted for five years. Visual inspection of the time series, consideration of the weather on specific days and correlation analysis were used to assess causal links between fracture numbers and a variety of weather parameters (temperature, rainfall, wind and ice risk). Results Overall, 10,929 individuals with hip fractures were admitted over the five-year period. The highest number of admissions in a day was 14. No clear association was found between a weather parameter and daily admissions. However, when accumulated to a weekly timescale, a negative relationship with maximum temperature was found. No seasonal cycle was detected. Conclusion The lack of a daily relationship and presence of a weekly relationship points to a possible delayed response to weather or insufficient daily data to extract a signal. The inconclusive results also indicate that more socioeconomic data will need to be used in future studies, requiring a larger data sample. In addition, even in cold weather an urban environment may not create icy conditions, being ameliorated by the heat island effect and gritting.
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