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  • 标题:Risk of Hip Fractures in Men with Alpha-Blockers: A Nationwide Study Base on Claim Registry
  • 本地全文:下载
  • 作者:Seo, Gi-Hyeon ; Lee, Young-Kyun ; Ha, Yong-Chan
  • 期刊名称:Journal of Bone Metabolism
  • 印刷版ISSN:2287-6375
  • 出版年度:2015
  • 卷号:22
  • 期号:1
  • 页码:29-32
  • DOI:10.11005/jbm.2015.22.1.29
  • 语种:English
  • 出版社:The Korean Society for Bone and Mineral Research
  • 摘要:Background

    Alpha-blocker can result in falling and fractures because of adverse effect such as orthostatic hypotension due to vasodilatory effect. We investigated the association between the alpha-blocker and the risk of osteoporotic hip fractures using a nationwide claim database.

    Methods

    We identified 1,051,651 men 65 years of age or older who had prescription records of alpha-blocker from nationwide medical claim database, from 2007 to 2012. Alpha-blockers were classified as non-specific general (NSG), non-specific slow-release (NSSR), uro-specific general (USG), and uro-specific slow release (USSR).

    Results

    Total of 6,553 hip fractures were observed. The incidences of hip fracture within 1 year were higher than those of the reference periods in all type of alpha-blocker. Hazard ratio peaked at early period of alpha-blocker, and decreased with time, regardless of type of alpha-blocker.

    Conclusions

    Use of alpha-blocker is associated with increased risk of hip fracture, especially in early use.

  • 关键词:Alpha-blocker; Hip fracture; Registries
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