Prevalence and burden of vertebral fractures in older men and women with hip fracture: A cross‐sectional study

Monaco, Marco Di; Castiglioni, Carlotta; Monaco, Roberto; Tappero, Rosa

doi:10.1111/ggi.12479

Cited by 5 publications

(2 citation statements)

References 40 publications

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“…11 An Italian study (2016) reported the prevalence of VF along with hip fracture as 60% in elderly males and 69% in females, with overall prevalence of 68%. 8 This difference in prevalence of vertebral fractures could be due to the different genetic background of the population group compared with our population and also due to geographical location.…”

Section: Discussionmentioning

confidence: 75%

“…A lateral thoracic and lumbar spine radiograph was performed to assess VF and level of vertebral fracture. Sample size was calculated using open epi software with a 95% confidence interval and 5% desired precision, assuming 68% prevalence of VF in elderly patients with hip fracture 8 and was found to be 335. Data were entered and analyzed using SPSS version 24.0.…”

Section: Methodsmentioning

confidence: 99%

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Frequency of Vertebral Fractures in Patients presenting with Hip Fractures

Chinoy

Javed

2019

Pak J Med Sci

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Objective: To determine the frequency of vertebral fractures in patients presenting with hip fractures. Methods: This prospective study was conducted at The Indus Hospital, Karachi, from May 2018 to November 2018. All patients above 40 years presenting with hip fractures were enrolled and a dorsal lumbar lateral view radiograph was obtained to investigate for vertebral fractures. Data was entered and analyzed using SPSS. Post-stratification, Chi-square/Fisher exact test was applied as appropriate to assess the significant association. P value of ≤0.05 was considered significant. Results: Three hundred thirty five patients were enrolled. Of these, 189 (56.4%) were females and 165 (49.3%) presented with neck of femur fractures. Out of 335 hip fractures patients, 77 (23%) were found to have concomitant vertebral fractures, with 73 (96.1%) having a compression fracture. T12 was the most common vertebra involved and 68.8% of patients were asymptomatic. Co-morbid conditions were statistically significantly associated with vertebral fractures. Conclusion: There is a high prevalence of asymptomatic vertebral fractures in our population, but low compared to studies from western countries. There is a need to evaluate these fractures separately for the prevention of morbidity and mortality. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1709 How to cite this:Chinoy MA, Javed S. Frequency of Vertebral Fractures in Patients presenting with Hip Fractures. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S44-S48. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1709 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 75%

Section: Methodsmentioning

confidence: 99%

Frequency of Vertebral Fractures in Patients presenting with Hip Fractures

Chinoy

Javed

2019

Pak J Med Sci

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Association between low lean mass and low bone mineral density in 653 women with hip fracture: does the definition of low lean mass matter?

et al. 2017

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Impact of concomitant injuries in geriatric patients with proximal femur fracture

Schoeneberg

Pass

Oberkircher

et al. 2021

The Bone & Joint Journal

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Aims The impact of concomitant injuries in patients with proximal femoral fractures has rarely been studied. To date, the few studies published have been mostly single-centre research focusing on the influence of upper limb fractures. A retrospective cohort analysis was, therefore, conducted to identify the impact and distribution of concomitant injuries in patients with proximal femoral fractures. Methods A retrospective, multicentre registry-based study was undertaken. Between 1 January 2016 and 31 December 2019, data for 24,919 patients from 100 hospitals were collected in the Registry for Geriatric Trauma. This information was queried and patient groups with and without concomitant injury were compared using linear and logistic regression models. In addition, we analyzed the influence of the different types of additional injuries. Results A total of 22,602 patients met the inclusion criteria. The overall prevalence of a concomitant injury was 8.2% with a predominance of female patients (8.7% vs 6.9%; p < 0.001). Most common were fractures of the ipsilateral upper limb. Concomitant injuries resulted in prolonged time-to-surgery (by 3.4 hours (95 confidence interval (CI) 2.14 to 4.69)) and extended length of stay in hospital by 2.2 days (95% CI 1.74 to 2.61). Mortality during the admission was significantly higher in the concomitant injury group (7.4% vs 5.3%; p < 0.001). Additionally, walking ability and quality of life were reduced in these patients at discharge. More patients were discharged to a nursing home instead of their own home compared to patients without additional injuries (25.8% vs 30.3%; p < 0.001). Conclusion With a prevalence of 8.2%, the appearance of a concomitant injury is common in elderly patients with hip fracture. These patients are at a greater risk for death during the admission, longer hospital stays, and delayed surgery. This knowledge is clinically important for all who are involved in the treatment of proximal femur fractures. Cite this article: Bone Joint J 2021;103-B(9):1526–1533.

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Prevalence and burden of vertebral fractures in older men and women with hip fracture: A cross‐sectional study

Abstract: The prevalence of vertebral fractures was high after hip fracture in both men and women. We found no significant between-sex differences in the prevalence and burden of vertebral fractures.

Cited by 5 publications

References 40 publications

Frequency of Vertebral Fractures in Patients presenting with Hip Fractures

Frequency of Vertebral Fractures in Patients presenting with Hip Fractures

Association between low lean mass and low bone mineral density in 653 women with hip fracture: does the definition of low lean mass matter?

Impact of concomitant injuries in geriatric patients with proximal femur fracture

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