Background Hepatitis B virus (HBV) is a major cause of chronic liver diseases worldwide, particularly cirrhosis and hepatocellular carcinoma, and the most important liver disease in Taiwan. However, little is known the impact of hepatitis b on osteoporotic patients.
Objectives This study aimed to determine if hepatitis b can increase the risk of mortality in patients with osteoporotic vertebral fracture.
Methods This retrospective study reviewed of cases of osteoporosis patients with acute vertebral fractures between 2001 and 2008. All associated co-morbidities were recorded. Kaplan-Meier and cox regression analysis were performed.
Results There were 432 patients with acute vertebral fractures. The mean age of 72.85±9.28. 31 (7.2%) patients had chronic hepatitis b. Using the Kaplan-Meier curve, hepatitis b had a significant effect on mortality (p<0.001, by log rank text). After adjusting for potential confounders, patients with hepatitis b still had a high mortality rate (p=0.019; HR: 2.436∼5.136) 2.137, 95% CI: 1.156∼5.136). The mortality rate also increased among smokers (p=0.026; HR: 3.6043.891; 95% CI: 1.056∼12.301).
Conclusions In this study, hepatitis b increase mortality in osteoporotic vertebral fracture patients. So we should pay attention to this group in osteoporotic management.
Chong-Shan Wang et al. Am. J. Trop. Med. Hyg., 66(4), 2002, pp. 389–393.
Acknowledgements We thank Kaohsiung Chang Gang Memorial Hospital for data support.
Disclosure of Interest None declared
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