Cic edizioni internazionali
Clinical Cases in mineral and bone metabolism

Incidence of fractures in a cohort of military personnel followed for over two decades

Original Article, 231 - 234
doi: 10.11138/ccmbm/2018.15.2.231
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Abstract
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Objectives. The epidemiological data of fractures are scarce and we studied the incidence of all fractures in a cohort of young military personnel followed for a long duration.
Methods. The data for this descriptive epidemiologic study was derived from the electronic medical records of the military personnel enrolled between 1990 and 2015. They were recruited before 18 years of age in good health and their morbidity data were derived from the medical records. We calculated the incidence rates per person years using appropriate statistical methods.
Results. Our analysis includes 51,217 participants (median age 33 years, range 17-54) with a mean follow-up of 12.5 years. Yearly evaluation of the data gave a cumulative follow-up duration of 613,925 person-years (py). A total of 1534 fractures occurred during the observation period, giving an incidence rate of 2.49 per 1,000 py (95% CI 2.38-2.63). The distribution of fractures consists of the inferior extremity (n=769, 50%), superior extremity (n=516, 34%) and the skull, spine and trunk (n=249, 16%) in the descending order.
Conclusion. Our cohort had lower incidence rates of fractures when compared with the western population. Long-term studies are required to confirm the findings of our study.

Vol. XV (No. 3) 2018 September - December

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    doi: 10.11138/ccmbm/2018.15.2.231
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