Hip fractures in the United States: 2008 nationwide emergency department sample

Kim, Sunny H; Meehan, John P.; Blumenfeld, Thomas J.; Szabo, Robert M.

doi:10.1002/acr.21580

Cited by 77 publications

(67 citation statements)

References 42 publications

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“…The occurrence of falls followed by proximal femoral fracture occurred predominantly in women (67.4%), corroborating national [25][26][27] and international [5,28] studies. Research conducted in 131 public hospitals in Spain that included 56,500 patients ≥ 60 years, hospitalized for proximal femoral fractures, during the period 2002-2005, showed that 78.5% of the fractures occurred in women [5], rates higher than those found in this study (67.4%).…”

Section: Discussionsupporting

confidence: 59%

“…There was a predominance of elderly aged ≥ 80 years (46.1%), figures approaching that of the Americans, which revealed that the peak of proximal femoral fractures was in the age range of 85 years. It was also found that, between the ages of 60-85 years, the risk of fracture doubled for each 5-6 years of life [28]. It is emphasized that it is in the age group ≥ 80 years in which there also exists a greater chance of the elderly dying [4], indicating the need to work even harder to prevent fractures and on the recovery of functional independence in this group of patients.…”

Section: Discussionmentioning

confidence: 90%

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Characterizing the fall and association between functional independence and balance in the elderly following proximal femoral surgery

Avila

Bocchi

2016

Int Arch Med

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Introduction: Falling in the elderly should be considered sentinel events in the life of an individual, potentially marking in the initiation of an important decline in his functional capacity, have a multicausal etiology and can be attributed to extrinsic factors and intrinsic factors. Objective:To characterize sociodemographics and the diseases of the elderly who sustained a proximal femoral fracture, as a result of falls from a standing height, and to study the relationship between balance and functional independence of these elderly.Method: This was a cross-sectional study conducted over a period of 12 months in a teaching hospital, with a sample of 89 elderly (≥ 60 years).Results: The characteristics of the elderly patients which demonstrated significance with functional independence were: the presence of nervous system disease, and/or mental and behavioural disorders (p = 0.001), and balance (p <0.001). Surgeries in the proximal femoral region occurred in females (67.3%), elderly patients ≥ 80 years of age (46.1%), and 60.7% underwent osteosynthesis. Conclusions:In relationship to functional independence, 23.6% of the elderly were classified as maximum dependence, 38.2% as minimum, and 38.2% as modified independence. The elderly gained balance significantly as they regained their functional independence, regardless of age, gender, and whether or not they presented with nervous system disease and/or mental and behavioural disorders.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 90%

Characterizing the fall and association between functional independence and balance in the elderly following proximal femoral surgery

Avila

Bocchi

2016

Int Arch Med

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“…The necessity for a comprehensive preventive policy and planning for future treatment increases the importance of gathering data on the incidence and trends of hip fractures (1,3,6). Regional, sample-sized, and institutional studies have tried to identify frequency, demographic structure, and fracture site, aiming to contribute to preventive policies and treatment planning (1,(4)(5)(6)(7)(8)(9)(10)(11)13,14,16). However, in explaining their own limitations, all of these studies emphasize the need for further studies.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, estimates of fracture risk are increasingly important for defining treatment thresholds; treatment of these fractures should, of necessity, begin with prevention, and that underlines the importance of gathering meaningful and accurate data (1-3). Many national and institutional studies have been published, and these studies have assessed the epidemiology and frequency of these fractures, which have a considerable socioeconomic burden worldwide (4)(5)(6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Analysis of the hip fracture records of a central training and research hospital by selected characteristics

Çankaya¹,

Yoldas²,

Cankaya³

et al. 2016

Turk J Med Sci

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This observational study was conducted at a tertiary central referral hospital in the capital city of Turkey. We identified 687 hip fracture cases between January 2009 and December 2013. They were classified as femoral neck fracture, intertrochanteric femur fracture, and subtrochanteric femur fracture, according to the fracture site. Periprosthetic and pathologic fractures were excluded.Background/aim: Despite the importance of hip fractures, very few studies have assessed their epidemiological characteristics in Turkey. The aim of this study was to evaluate the frequency and demography of hip fractures from the recent data of a central training and research hospital. Materials and methods:In this descriptive study, we identified hip fracture cases between 2009 and 2013. The age, sex, region, injury pattern, and calendar year for all patients were evaluated.Results: Among the 687 patients (488 women, 199 men) described in our clinic's records, 122, 131, 144, 138, and 154 patients applied with hip fractures from the years 2009 to 2013, respectively. The mean ages of the women and men were 74.8 and 68.5 years, respectively. There were 220 patients who had femoral neck fracture (32%), 419 who had intertrochanteric fracture (61%), and 48 who had subtrochanteric fracture (7%). Conclusion:The female geriatric population may have an increasing and distinct hip fracture risk, mainly in the trochanteric region. Furthermore, recent studies that show variations in the frequency and demography of hip fractures highlight the importance of meticulous recording of patients' information. A nationwide survey of different categories of hospitals and various geographic regions of Turkey is also needed to inform effective prevention strategies.

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“…3 The risk of hip fracture dramatically increases after age 65 years in women. 4 Hip fracture often leads to disability 5 and premature death. 6 Ongoing pain and limited physical mobility can severely compromise quality of life.…”

Section: Introductionmentioning

confidence: 99%

Protective effect of bisphosphonates on endometrial cancer incidence in data from the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial

Alford

Rattan

Buekers

et al. 2014

Cancer

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BACKGROUND: Preclinical studies have demonstrated antitumor effects of bisphosphonates. The objective of the current study was to determine the effect of exposure to bisphosphonate on the incidence of endometrial cancer. METHODS: The authors used data from the National Cancer Institute's Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial, which collected data on all cancers. In year 5, all participants were asked to complete a self-administered supplemental questionnaire (SQX) that included questions regarding bone medication use. For women without a cancer diagnosis at the time of the SQX, the authors identified whether a woman reported current or former use of a nitrogenous bisphosphonate (NBP), defined as ever-use, and compared them with women never exposed to an NBP. Women with missing information were excluded as were women who reported undergoing a hysterectomy. Incidence rates and rate ratios were calculated with 95% confidence intervals (95% CIs). Cox proportional hazard ratios were also calculated and adjusted for covariates. RESULTS: A total of 29,254 women were included in the current analysis; an additional 77 cases of endometrial cancer have been diagnosed since the SQX. The incidence rate for endometrial cancer among women exposed to NBPs was 8.7 per 10,000 person-years versus 17.7 per 10,000 person-years among never-exposed women (rate ratio, 0.49; 95% CI, 0.30-0.80). The effect was similar after adjusting for all the covariates in the Cox proportional hazards analysis, with a hazard ratio of 0.56 (95% CI, 0.34-0.93). CONCLUSIONS: The results of the current study suggest that use of NBPs may have a protective effect on the incidence of endometrial cancer. However, additional studies are needed that include other potential confounders and a larger sample. Cancer 2015;121:441-7.

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Hip fractures in the United States: 2008 nationwide emergency department sample

Cited by 77 publications

References 42 publications

Characterizing the fall and association between functional independence and balance in the elderly following proximal femoral surgery

Characterizing the fall and association between functional independence and balance in the elderly following proximal femoral surgery

Analysis of the hip fracture records of a central training and research hospital by selected characteristics

Protective effect of bisphosphonates on endometrial cancer incidence in data from the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial

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