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...
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| Veröffentlicht in: | Calcified tissue international 2024-04, Vol.114 (4), p.326-339 |
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| 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% (
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| doi_str_mv | 10.1007/s00223-024-01182-8 |
| format | Article |
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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.</description><identifier>ISSN: 1432-0827</identifier><identifier>ISSN: 0171-967X</identifier><identifier>EISSN: 1432-0827</identifier><identifier>DOI: 10.1007/s00223-024-01182-8</identifier><identifier>PMID: 38340169</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Age ; Age groups ; Biochemistry ; Biomedical and Life Sciences ; Cell Biology ; Endocrinology ; Fractures ; High temperature ; Humidity ; Life Sciences ; Older people ; Original Research ; Orthopedics ; Prediction models ; Regression analysis ; Relative humidity ; Seasonal variations ; Statistical analysis ; Trends</subject><ispartof>Calcified tissue international, 2024-04, Vol.114 (4), p.326-339</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-3670bf5ff72594b2afd270bf5d256a2939a1104da86e07f6d7e54063ecae71aa3</citedby><cites>FETCH-LOGICAL-c419t-3670bf5ff72594b2afd270bf5d256a2939a1104da86e07f6d7e54063ecae71aa3</cites><orcidid>0000-0001-7780-6537</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00223-024-01182-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00223-024-01182-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38340169$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Surís, Xavier</creatorcontrib><creatorcontrib>Rodríguez, Clara</creatorcontrib><creatorcontrib>Llargués, Esteve</creatorcontrib><creatorcontrib>Pueyo-Sánchez, Maria J.</creatorcontrib><creatorcontrib>Larrosa, Marta</creatorcontrib><title>Trend and Seasonality of Hip Fractures in Catalonia, Spain: Exploring the Influence of Climate</title><title>Calcified tissue international</title><addtitle>Calcif Tissue Int</addtitle><addtitle>Calcif Tissue Int</addtitle><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.</description><subject>Age</subject><subject>Age groups</subject><subject>Biochemistry</subject><subject>Biomedical and Life Sciences</subject><subject>Cell Biology</subject><subject>Endocrinology</subject><subject>Fractures</subject><subject>High temperature</subject><subject>Humidity</subject><subject>Life Sciences</subject><subject>Older people</subject><subject>Original Research</subject><subject>Orthopedics</subject><subject>Prediction models</subject><subject>Regression analysis</subject><subject>Relative humidity</subject><subject>Seasonal variations</subject><subject>Statistical analysis</subject><subject>Trends</subject><issn>1432-0827</issn><issn>0171-967X</issn><issn>1432-0827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9kMtKxDAUhoMoXkZfwIUE3LiwepK0SetOBm8guFC3hjPtiVY6aU1a0Le343jDhYuQEL7_P5yPsV0BRwLAHEcAKVUCMk1AiFwm-QrbFKmSCeTSrP56b7CtGJ8BRKq1XmcbKlcpCF1ssoe7QL7iOJ5bwth6bOr-jbeOX9YdPw9Y9kOgyGvPp9hj0_oaD_lth7U_4WevXdOG2j_y_on4lXfNQL6kRXra1HPsaZutOWwi7XzeE3Z_fnY3vUyuby6upqfXSZmKok-UNjBzmXNGZkU6k-gq-fFTyUyjLFSBQkBaYa4JjNOVoSwFrahEMgJRTdjBsrcL7ctAsbfzOpbUNOipHaKVhcwAQI1VE7b_B31uhzDuvaCMLLJCGjNSckmVoY0xkLNdGDcKb1aAXdi3S_t2tG8_7Nt8DO19Vg-zOVXfkS_dI6CWQOwW2ij8zP6n9h1lOo4x</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Surís, Xavier</creator><creator>Rodríguez, Clara</creator><creator>Llargués, Esteve</creator><creator>Pueyo-Sánchez, Maria J.</creator><creator>Larrosa, Marta</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7780-6537</orcidid></search><sort><creationdate>20240401</creationdate><title>Trend and Seasonality of Hip Fractures in Catalonia, Spain: Exploring the Influence of Climate</title><author>Surís, Xavier ; Rodríguez, Clara ; Llargués, Esteve ; Pueyo-Sánchez, Maria J. ; Larrosa, Marta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-3670bf5ff72594b2afd270bf5d256a2939a1104da86e07f6d7e54063ecae71aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age</topic><topic>Age groups</topic><topic>Biochemistry</topic><topic>Biomedical and Life Sciences</topic><topic>Cell Biology</topic><topic>Endocrinology</topic><topic>Fractures</topic><topic>High temperature</topic><topic>Humidity</topic><topic>Life Sciences</topic><topic>Older people</topic><topic>Original Research</topic><topic>Orthopedics</topic><topic>Prediction models</topic><topic>Regression analysis</topic><topic>Relative humidity</topic><topic>Seasonal variations</topic><topic>Statistical analysis</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Surís, Xavier</creatorcontrib><creatorcontrib>Rodríguez, Clara</creatorcontrib><creatorcontrib>Llargués, Esteve</creatorcontrib><creatorcontrib>Pueyo-Sánchez, Maria J.</creatorcontrib><creatorcontrib>Larrosa, Marta</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Calcified tissue international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Surís, Xavier</au><au>Rodríguez, Clara</au><au>Llargués, Esteve</au><au>Pueyo-Sánchez, Maria J.</au><au>Larrosa, Marta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trend and Seasonality of Hip Fractures in Catalonia, Spain: Exploring the Influence of Climate</atitle><jtitle>Calcified tissue international</jtitle><stitle>Calcif Tissue Int</stitle><addtitle>Calcif Tissue Int</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>114</volume><issue>4</issue><spage>326</spage><epage>339</epage><pages>326-339</pages><issn>1432-0827</issn><issn>0171-967X</issn><eissn>1432-0827</eissn><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>38340169</pmid><doi>10.1007/s00223-024-01182-8</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-7780-6537</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Age groups Biochemistry Biomedical and Life Sciences Cell Biology Endocrinology Fractures High temperature Humidity Life Sciences Older people Original Research Orthopedics Prediction models Regression analysis Relative humidity Seasonal variations Statistical analysis Trends |
| title | Trend and Seasonality of Hip Fractures in Catalonia, Spain: Exploring the Influence of Climate |
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