社区老年人髋部骨折早期预警体系的构建及应用

注册号:

Registration number:

ChiCTR2500105296 

最近更新日期:

Date of Last Refreshed on:

2025-07-01 16:46:51 

注册时间:

Date of Registration:

2025-07-01 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

社区老年人髋部骨折早期预警体系的构建及应用

Public title:

Construction and Application of an Early Warning System for Hip Fractures in Community Elderly People

注册题目简写:

English Acronym:

研究课题的正式科学名称:

社区老年人髋部骨折早期预警体系的构建及应用

Scientific title:

Construction and Application of an Early Warning System for Hip Fractures in Community Elderly People

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

原源 

研究负责人:

原源 

Applicant:

Yuan Yuan 

Study leader:

Yuan Yuan 

申请注册联系人电话:

Applicant telephone:

+86 10 5780 1197

研究负责人电话:

Study leader's
telephone:

+86 10 5780 1197

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

yuan100yuan100@163.com

研究负责人电子邮件:

Study leader's E-mail:

yuan100yuan100@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京市西城区新街口东街31号

研究负责人通讯地址:

北京市西城区新街口东街31号

Applicant address:

No. 31, Xinjiekou East Street, Xicheng District, Beijing

Study leader's address:

No. 31, Xinjiekou East Street, Xicheng District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

首都医科大学附属北京积水潭医院

Applicant's institution:

Beijing Jishuitan Hospital, Capital Medical University

研究负责人所在单位:

首都医科大学附属北京积水潭医院

Affiliation of the Leader:

Beijing Jishuitan Hospital, Capital Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

积伦[K2024]第[151]号-00;积伦[K2024]第[151]号-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

首都医科大学附属北京积水潭医院伦理审查委员会

Name of the ethic committee:

Ethics Review Committee of Beijing Jishuitan Hospital, Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-26 00:00:00

伦理委员会联系人:

王娜

Contact Name of the ethic committee:

Wang Na

伦理委员会联系地址:

北京市西城区新街口东街31号

Contact Address of the ethic committee:

No. 31, Xinjiekou East Street, Xicheng District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 5851 7080

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

首都医科大学附属北京积水潭医院

Primary sponsor:

Beijing Jishuitan Hospital, Capital Medical University

研究实施负责(组长)单位地址:

北京市西城区新街口东街31号

Primary sponsor's address:

No. 31, Xinjiekou East Street, Xicheng District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京积水潭医院

具体地址:

北京市西城区新街口东街31号

Institution
hospital:

Beijing Jishuitan Hospital, Capital Medical University

Address:

No. 31, Xinjiekou East Street, Xicheng District, Beijing

经费或物资来源:

首发卫生发展科研专项

Source(s) of funding:

The first special research project on health development was launched

研究疾病:

骨质疏松脆性骨折  

Target disease:

Osteoporotic fragility fracture

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

连续入组 

Study design:

Sequential 

研究目的:

本研究将采用我院老年髋部骨折标准化数据库构建老年髋部骨折风险预警模型,利用GAN-FL-XGBoost等机器学习算法,构建该模型,进一步,通过与对口社区卫生服务中心协同,进行早期预警模型的社区落地,实现该模型的应用验证及优化,以期达到早期精准识别老年髋部骨折高危人群,及时分层分级干预的目的。  

Objectives of Study:

This study will adopt the standardized database of elderly hip fractures in our hospital to construct a risk early warning model for elderly hip fractures. By using machine learning algorithms such as GAN-FL-XGBoost, the model will be built. Further, through collaboration with the corresponding community health service centers, the early warning model will be implemented in the community to achieve application verification and optimization of the model, with the aim of accurately identifying high-risk groups of elderly hip fractures at an early stage and providing timely stratified and graded intervention.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.年龄<60岁; 2.老年髋部骨折组:暴力性骨折或肿瘤转移造成的病理性骨折; 3.未发生急性骨折组:1年内发生过骨折; 4.模型验证阶段纳入的受试者因家庭、个人或身体疾病等原因,不接受本研究。

Exclusion criteria:

1.Age < 60 years old; 2.Elderly hip fracture group: fractures caused by violent trauma or pathological fractures due to tumor metastasis; 3.Non-acute fracture group: fractures occurred within one year; 4.Subjects included in the model validation stage who do not accept this study due to family, personal or physical health reasons.

研究实施时间:

Study execute time:

From 2024-04-01 00:00:00 To 2026-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-08-06 00:00:00 To 2026-12-31 00:00:00

干预措施:

Interventions:

组别:

老年髋部骨折病例组

样本量:

3300

Group:

Elderly hip fracture case group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

龙泽园社区卫生服务中心 

单位级别:

社区服务卫生中心 

Institution
hospital:

Longze Garden Community Health Service Center

Level of the institution:

Community Health Service Center

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京积水潭医院 

单位级别:

三甲 

Institution
hospital:

Beijing Jishuitan Hospital, Capital Medical University

Level of the institution:

Tertiary A,

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

泰康燕园康复医院 

单位级别:

二级 

Institution
hospital:

Taikang Yanyuan Rehabilitation Hospital

Level of the institution:

Secondary

测量指标:

Outcomes:

指标中文名:

血清25羟维生素D

指标类型:

主要指标

Outcome:

Serum 25(OH)D3

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

双能X线骨密度T值

指标类型:

主要指标

Outcome:

Dual-energy X-ray absorptiometry T-score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血肌酐

指标类型:

次要指标

Outcome:

Serum creatinine

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低密度脂蛋白

指标类型:

次要指标

Outcome:

Low Density Lipoprotein

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

糖化血红蛋白

指标类型:

次要指标

Outcome:

Glycated Hemoglobin

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

准确度

指标类型:

主要指标

Outcome:

Accuracy

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

灵敏度

指标类型:

主要指标

Outcome:

Sensitivity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

特异度

指标类型:

主要指标

Outcome:

Specificity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

精确度

指标类型:

主要指标

Outcome:

Precision

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

灵敏度与特异度的几何平均数

指标类型:

主要指标

Outcome:

G-mean

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ROC 曲线下面积

指标类型:

主要指标

Outcome:

AUC

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

None

Sample Name:

None

Tissue:

None

人体标本去向

其它  

说明

None

Fate of sample:

0thers  

Note:

None

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 60 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

研究结束后,通过ResMan(www.medresman.org.cn)方式共享

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

After the end of the study, it was shared by ResMan (www.medresman.org.cn).

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

EDC

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-07-01 16:46:46