Fractures in the Elderly in a West African Teaching Hospital

Adewole, AO; Kayode, MO; Shoga, MO; Ra, Balogun

doi:10.4314/njotra.v8i1.44098

Cited by 2 publications

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“…Our study found a mean age of 74.78 years, similar to a study done in Turkey [9] with a mean age of 77.16 years and other reports [10] [11] [12] [13]. Males were more than females in our study, similar to other studies [14] [15].…”

Section: Discussionsupporting

confidence: 92%

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Profile of Geriatric Trauma in a Developing Country

Anyaehie¹,

Ede²,

Muoghalu³

et al. 2022

JBM

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Geriatric trauma patients require special consideration. They frequently have comorbidities and reduced physiologic reserves, influencing treatment decisions and outcomes. Hence, a comprehensive approach is fundamental to ensure better results. The authors retrospectively evaluated the profile of 332 cases of geriatric trauma over ten years (January 2010-December 2019) at National Orthopaedic Hospital Enugu, in South-East Nigeria. The mean age of patients was 74.78 years (SD = 8.69), with females presenting at a later age than men (76.05 vs 73.69 years), p = 0.013. The commonest mechanism of injury was ground-level fall (47.59%), with proximal femoral fractures being the most common (41.27%). Only 47% of geriatric patients presented to a hospital within 24 hours following injury, and the mean duration of admission was 28 days. Approximately 77% of patients had operative care, and 68.67% expressed satisfaction with the outcome of their management. The mortality rate was 2.11%. In conclusion, most geriatric fractures require surgical intervention and education to facilitate early hospital presentation is needed.

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Section: Discussionsupporting

confidence: 92%

“…The lower limb was the most common area in our study, similar to reports in some other studies [13] [21] [22] [23] [24]. This is because the lower limb receives the highest impact during GLF.…”

Section: Discussionsupporting

confidence: 91%

Profile of Geriatric Trauma in a Developing Country

Anyaehie¹,

Ede²,

Muoghalu³

et al. 2022

JBM

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“…Lagos State, Nigeria has a health policy that gives free treatment to the elderly aged 60 years and above. A study carried out in Lagos State University Teaching Hospital between July 2006 and December 2007, revealed that 5.6% of the patients treated for fractures were aged 65 years and above; and that, their fractures were sustained mainly as a result of falls (11). The study did not reveal how many of them were associated with osteoporosis.…”

Section: C)mentioning

confidence: 93%

Bone Mineral Density Measurements of Women in a Black African Population in Lagos, Nigeria Using Accudexa Bone Mineral Density Assessment System: A Preliminary Study

Adewole¹,

Giwa²,

Oa³

et al. 2016

West Indian Med J

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Objective: No normative database for bone mineral density (BMD) exists in Nigeria. The study was done to provide the basis for the creation of a normative reference BMD database for women in Nigeria, while assessing the appropriateness of applying normative data for African-American women to Nigerian females. Methods:The BMD measurements of 70 women aged 50 years and above as well as 58 women aged between 23 and 30 years, were taken using an accuDexa Dual X-ray Absorptiometry (DEXA) machine. Their local T-scores were determined using the BMD measurements of the young healthy normal group as control and the patients were grouped using the World Health Organization definitions (WHO) classification into normal, low bone density and osteoporosis. This was compared with the T-scores obtained using the African-American normative database.Results: Using the local reference to determine T-scores for the older women, 24 were normal, 32 had low bone density and 14 had osteoporosis. When the African-American database was used as reference, 31 were normal, 31 had low bone density and eight had osteoporosis. This gave a diagnostic difference of 10% for the normal group, -1.4% for the low bone density group and -8.6% for the osteoporosis group. Conclusion:The preliminary results suggested that the BMD of the local young healthy normal female Nigerian was higher than the African-American female. Since the diagnostic difference for osteoporosis was greater than 5%, the African-American reference values were considered inappropriate for the diagnosis of osteoporosis in the female Black Nigerian.Therefore, there is a need for a larger multicentre study to evaluate these findings.

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Fractures in the Elderly in a West African Teaching Hospital

Cited by 2 publications

References 0 publications

Profile of Geriatric Trauma in a Developing Country

Profile of Geriatric Trauma in a Developing Country

Bone Mineral Density Measurements of Women in a Black African Population in Lagos, Nigeria Using Accudexa Bone Mineral Density Assessment System: A Preliminary Study

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