Is Sarcopenia a Potential Risk Factor for Distal Radius Fracture? Analysis Using Propensity Score Matching

Lee, Jun-Ku; Yoon, Byung‐Ho; Oh, Chi Hoon; Kim, Jung Gon; Han, Soo-Hong

doi:10.11005/jbm.2018.25.2.99

Cited by 11 publications

(10 citation statements)

References 31 publications

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“…This study identified the risk factors for tibial plateau fractures combined with intercondylar eminence fractures, which included patients who were aged over 74 years and retired. The findings are consistent with other investigations. Lee et al .…”

Section: Discussionsupporting

confidence: 94%

Epidemiological Study of Tibial Plateau Fractures Combined with Intercondylar Eminence Fractures

Zhang

Chen

et al. 2020

Orthopaedic Surgery

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Objective: To investigate the epidemiological characteristics of tibial plateau fractures combined with intercondylar eminence fractures and identify the risk factors.Methods: This retrospective study enrolled patients with tibial plateau fractures who were treated in the third hospital of Hebei Medical University from January 2015 to December 2018; 1020 patients (693 [68%] men and 327 [32%] women) meeting the inclusion and exclusion criteria had a mean age of 45.2 AE 13.8 years. In total, 506 (50%) cases were left injuries, 495 (48%) were right injuries, and 19 (2%) were bilateral injuries. Among them, 458 (44.9%) with a mean age of 47.0 AE 13.9 years had intercondylar eminence fractures, including 324 men and 134 women. A total of 562 (55.1%) patients were identified without intercondylar eminence fractures, including 369 (65.7%) men and 193 (34.3%) women with an average age of 43.8 AE 13.6 years. The distribution characteristics of tibial plateau fractures with intercondylar eminence involved were identified. The potential associations among fractures and various other factors, such as age, gender, occupation, and mechanism of injury, were explored.Results: The highest proportion age group of tibial plateau fractures included the ages 35-54 years, with more men than women for both age groups. For males, the highest proportion age group was 35-44 years, and for females, it was 55-64 years (χ 2 = 71.336, P < 0.01). According to Schatzker classification, type IV tibial plateau fractures had the highest risk of intercondylar eminence being involved (70.6%) without significance with type V (69.5%) and VI (68.2%) but with greater significance with types I (11.9%), II (39.2%), and III (9.4%, χ 2 = 280.187, P < 0.01). Multiple analysis showed that simple fractures, including types I, II, and III (OR 0.108, 95% CI: 0.080-0.145), were less likely to involve intercondylar eminence fractures than complex fractures, including types IV, V, and VI. Patients aged >74 years were more likely to have intercondylar eminence fractures compared with other age groups. Retired patients (OR 4.332, 95% CI: 1.147-16.362) were more likely to have fractured intercondylar eminence. Conclusion:The current study revealed the characteristics of tibial plateau fractures, especially those involving intercondylar eminence fractures, as well as their proportion, distribution, and risk factors, which can be used as reference data for clinical assessment and surgical protocol selection.

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Section: Discussionsupporting

confidence: 94%

Epidemiological Study of Tibial Plateau Fractures Combined with Intercondylar Eminence Fractures

Zhang

Chen

et al. 2020

Orthopaedic Surgery

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“…While the incidence of hip and shoulder fractures increases after the age of 80, the incidence of DRFs increases at age 60–70 and therefore affects more active elderly individuals [ 5 ]. Lee et al [ 6 ] previously reported that patients with DRF do not have significantly lower average lean body mass but that bone mineral density (BMD) is significantly lower in patients with DRF. Some reports have suggested that low body mass is a risk for hip fracture [ 7 , 8 ] and that patients with DRF have a preserved body mass compared with patients with hip fracture.…”

Section: Introductionmentioning

confidence: 99%

Relationship between potentially inappropriate medications and functional prognosis in elderly patients with distal radius fracture: a retrospective cohort study

et al. 2020

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Background: Potentially inappropriate medications (PIMs) are a major concern in geriatric care. PIMs increase the risk of falls in elderly patients. However, the relationship between PIMs, subsequent falls, and functional prognosis for distal radius fracture (DRF) remains unclear. The aim of this study was to examine the relationship between PIMs, activities of daily living, and subsequent falls in elderly DRF patients. Methods: The study included 253 patients aged ≥ 65 years who required surgical treatment for DRF. Clinical characteristics of patients obtained included age, sex, body mass index, number of medicines used at admission, number and type of PIMs used at admission, bone mineral density, use of drugs for osteoporosis, severity of comorbidities, nutritional status, Barthel Index (BI), length of hospital stay, subsequent falls, fracture type, and Mayo wrist score. Subjects were divided into two groups according to PIMs use and no use. Propensity score matching was used to assess patient characteristics and confirm factors affecting BI and subsequent falls. Results: One hundred seven patients (42.3%) were prescribed PIMs upon hospital admission. The mean BI gain was significantly lower in patients prescribed PIMs than in those who were not (p = 0.006), as was the rate of falls postsurgery (p = 0.009). Multivariate analysis of BI gain showed that PIMs affected BI gain (95% confidence interval [CI], − 1.589 to − 0.196, p = 0.012), and logistic regression analysis revealed that PIMs influenced subsequent falls (odds ratio, 0.108, 95% CI, 1.246 to 2.357, p < 0.001). Conclusions: PIM use hindered the improvement in activities of daily living and increased the incidence of subsequent falls in patients assessed. These results demonstrate the importance of appropriate drug control for patients with DRF.

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“…5,6 Roh et al 6 showed that sarcopenia rates were higher in patients with DRF than age- and sex-matched controls. In contrast to that study, Lee et al 7 demonstrated that appendicular lean mass and sarcopenia rates were not significantly different between patients with DRF and age- and sex-matched controls. Nevertheless, these studies defined sarcopenia according to only dual-energy X-ray absorptiometry (DEXA) results, other sarcopenia components demonstrating muscle function (handgrip strength, walking time) have not been considered.…”

Section: Introductionmentioning

confidence: 60%

Frailty and Sarcopenia in Patients With Distal Radius Fracture: A Geriatric Perspective

Çalışkan

İğdir

Özsürekçi

et al. 2020

Geriatr Orthop Surg Rehabil

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Introduction: Sarcopenia, which is described as loss of muscle mass and function, worsens daily living activities of older people. Sarcopenia is a component of frailty that causes falls and fractures in older people. The aim of this study was to evaluate sarcopenia and frailty status of older people with distal radius fracture (DRF) and compare with age- and sex-matched controls without DRF. Materials and Methods: This is an observational cross-sectional study including 27 patients with DRF and 28 controls without fracture who applied to geriatric outpatient clinic. Sarcopenia was diagnosed according to the definition of European Working Group on Sarcopenia in Older People 2. Frailty was assessed by Fried frailty index. Comprehensive geriatric assessment was applied to all participants. Results: Median ages were 70 and 69 years (min: 65, max: 87 in both) in patients with DRF and controls, respectively. The prevalence of sarcopenia was similar between the groups ( P = .48). Prefrail–frail (nonrobust) phenotype was higher in patients with DRF ( P = .04). Nonrobust phenotype was an independent variable predicting DRF in logistic regression models. Discussion: This study showed that nonrobust phenotype was an independent variable predicting DRF. Conclusion: Assessment of frailty and detecting patients with nonrobust phenotype may help clinicians in fracture prevention strategies.

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Is Sarcopenia a Potential Risk Factor for Distal Radius Fracture? Analysis Using Propensity Score Matching

Cited by 11 publications

References 31 publications

Epidemiological Study of Tibial Plateau Fractures Combined with Intercondylar Eminence Fractures

Epidemiological Study of Tibial Plateau Fractures Combined with Intercondylar Eminence Fractures

Relationship between potentially inappropriate medications and functional prognosis in elderly patients with distal radius fracture: a retrospective cohort study

Frailty and Sarcopenia in Patients With Distal Radius Fracture: A Geriatric Perspective

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