Authors: Lee YK, Jang S, Jang S, Lee HJ, Park C, Ha YC, Kim DY.
Source: Osteoporos Int. 2011 Nov 23.
Lee et al. from Seoul report that the incidence of vertebral fracture in South Korea was comparable with other countries, and the mortality after vertebral fracture is higher than that of normal populations.
The authors state that: "A vertebral compression fracture is a serious complication associated with osteoporosis of the spine. We evaluated the incidence of vertebral fracture and subsequent mortality in South Korea, using nationwide data from the Health Insurance Review and Assessment Service (HIRA)".
All new visits or admissions to clinics
or hospitals for fractures were recorded in nationwide cohort by the
Korean HIRA using International Classification of Disease, tenth
Revision (ICD-10) code. The incidence of vertebral fracture and excess
mortality associated with vertebral fracture were evaluated, in men and
women aged 50 years or more between 2005 and 2008. Standardized
mortality ratio (SMR) was calculated to determine excess mortality
associated with vertebral fracture.
The authors found that: "The crude overall incidence of vertebral fractures was 984 per 100,000 person years from 2005 to 2008. The overall mortality rate at 3 months, 6 months, 1 year, and 2 years after vertebral fracture in men (5.56%, 9.41%, 14.6%, and 20.61%, respectively) were higher than that in women (2.41%, 4.36%, 7.16%, and 10.48%, respectively). In both genders, the age-specific mortality rates were more than those of the general population. The SMR was highest during the first 3 months and gradually declined to 2.53 in men and 1.86 in women at the 2-year period".
The authors concluded that "The incidence of vertebral fracture in South Korea was comparable with other countries such as Switzerland, and the mortality after vertebral fracture is higher than that of normal populations. The incidence of osteoporotic vertebral fracture and following high mortality are likely to become serious socioeconomic problems".
Link for the abstract: http://www.ncbi.nlm.nih.gov/pubmed/22109741
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