Risk factors for cervical and trochanteric hip fracture during a fall on the hip

Meriläinen, Sanna; Nevalainen, Tanja; Luukinen, Heikki; Jalovaara, P.

doi:10.1080/028134302760234672

Cited by 13 publications

(6 citation statements)

References 21 publications

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“…Most patients with a hip fracture were people older than 65 years (who were mostly influenced by staying at home policy). Merilainen et al found that inability to walk alone outdoors was proved to be a risk factor for femoral neck hip fracture only, while falling indoors was a specific risk factor for trochanteric hip fracture only [16]. Considering that statement, as well as the fact that number of patients with a trochanteric fracture was lower in year 2019 and higher in year 2020 in relation to femoral neck fractures, it could be assumed that falling indoors was proven as a risk factor for trochanteric fractures in our study too.…”

Section: Discussionmentioning

confidence: 99%

Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment

Mitković

Bumbaširević

Milenković

et al. 2020

International Orthopaedics (SICOT)

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Purpose After the appearance of first COVID-19 cases in Serbia, state of emergency was declared on 15 March 2020 and lasted for 54 days. The aim of this report is to compare orthopaedic fracture frequencies in this period, when the walk was limited at the home mostly, with those during the same part in the previous year with regular state, thus to examine staying at home as a factor influencing the frequency of different fracture types. Methods There were 86 patients during the state of emergency in year 2020 and 106 patients during the same part of year 2019 with a regular state, having orthopaedic trauma surgery. Number of fractures, gender distribution, and age of patients have been compared between these periods. Results Total number of fractures decreased for about 19% during the state of emergency. There was nonsignificant difference in fracture frequency for all skeletal areas (p > 0.05), except for distal femoral fractures which occurred more often during the state of emergency (p < 0.05). Female ratio was higher during state of emergency than in regular state for femoral neck fractures. Conclusion Restricted going outside the home for 54 days has the influence in total number of fractures and gender distribution in femoral neck fractures. The method of external fixation used could be assumed as a reducing factor of intraoperative virus pandemic propagation among medical staff.

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Section: Discussionmentioning

confidence: 99%

Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment

Mitković

Bumbaširević

Milenković

et al. 2020

International Orthopaedics (SICOT)

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“…It has been found that hip fracture subjects, in contrast, are relatively tall. (32)(33)(34) Although height at age 25 and age-adjusted current height (excluding prevalent fractures) were slightly shorter in those who had incident fractures, the differences were not significant. However, others have found a shorter arm span and leg length in women who sustain vertebral fractures, suggesting a significantly shorter original height.…”

Section: Heightmentioning

confidence: 90%

Risk Factors for Vertebral and Nonvertebral Fracture Over 10 Years: A Population-Based Study in Women

Finigan

Greenfield

Blumsohn

et al. 2008

Journal of Bone and Mineral Research

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Risk factors may vary for different types of fracture, in particular for vertebral fractures. We followed 367 women >50 yr of age from a population-based cohort for up to 10 yr. Factors that predicted vertebral rather than nonvertebral fractures related to physical weakness, poor health, and weight loss. Similar factors were also associated with greater bone loss at the hip.Introduction: Many risk factors predict fractures overall, but it is less clear whether certain factors relate to vertebral fractures in particular. The aim of this study was to compare the risk factors for vertebral and nonvertebral fractures. Materials and Methods:We carried out a 10-yr prospective population-based study of 375 women who were 50-85 yr of age initially. At baseline, we measured BMD, blood and urine biochemistry, and anthropometric measurements. Medical and lifestyle data were obtained by questionnaire. Incident vertebral fractures were determined for 311 subjects from spinal radiographs at 0, 2, 5, 7, and 10 yr using an algorithm-based qualitative method, and nonvertebral fractures were confirmed radiographically. Relative risks were calculated by Cox regression analysis. Results: During follow-up, 70 subjects sustained one or more nonvertebral fractures and 29 sustained one or more vertebral fractures. Risk factors that predicted both types of fracture included increasing age, decreasing BMD at all sites, prevalent vertebral fracture, and shorter estrogen exposure. For nonvertebral fractures only, the risk factors included low urinary creatinine and less frequent use of stairs. The factors for vertebral fractures included lighter weight, reduced body fat, heavy smoking, lower serum calcium, albumin, and thyroid T 3 , weak grip strength, and poor physical capability. In a multivariate model, weight, fat mass, serum calcium and T 3 , prevalent vertebral fracture, and physical capability remained significant. Furthermore, grip strength, serum albumin, weight loss, and physical capability were associated with rate of bone loss at the femoral neck, and a fast rate of bone loss was also associated with vertebral fractures. Conclusions: We conclude that overall frailty, which may consist of general poor health, small or thin body size, and lack of strength and physical capability, predicts vertebral fractures but is not a significant predictor of nonvertebral fractures. Bone loss rates are associated with similar risk factors and also with the incidence of vertebral fractures.

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“…In order to test this hypothesis, a correlation was calculated between the nationwide data on the prevalence of outdoor walking ability — being a strong disability-related risk factor for hip fracture [51] — of persons aged 65 to 84 and the hip fracture incidences for the corresponding age and sex groups for each year between 1998–2002. Data on walking ability status for the population was extracted from consecutive nationwide surveys on health behavior among older people conducted by the National Public Health Institute [52].…”

Section: Discussionmentioning

confidence: 99%

Utilization of routinely collected administrative data in monitoring the incidence of aging dependent hip fracture

Sund

2007

Epidemiol Perspect Innov

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Societies are facing challenges as the public health burden increases in tandem with population aging. Local information systems are needed that would allow a continuous monitoring of the incidence and effectiveness of treatments. This study investigates the possibilities of routinely collected administrative data as a data source for hip fracture incidence monitoring in Finland.The study demonstrates that a straightforward use of register data results in biased estimates for the numbers of hip fractures. An interpretation of hip fractures from the population aging point of view offers an alternative perspective for hip fracture incidence calculation. This enables development of a generalizable method for probabilistic detection of starting points of hip fracture care episodes. Several risk factor and risk population extraction techniques required in registerbased data analyses are also demonstrated. Finally, it is shown that empirical evidence suggests that hip fracture incidence is proportional to population level disability prevalence.In conclusion, Finnish administrative data makes it possible to derive data for rather detailed population level risk factor stratification. Certain limitations of register-based data can be partly avoided by synthesizing data-sensitive methodological solutions during the analysis process.

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Risk factors for cervical and trochanteric hip fracture during a fall on the hip

Abstract: Elderly persons with low weight, tall height, respiratory disease, tendency to fall indoors and inability to walk alone outdoors should be candidates for the use of hip protectors.

Cited by 13 publications

References 21 publications

Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment

Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment

Risk Factors for Vertebral and Nonvertebral Fracture Over 10 Years: A Population-Based Study in Women

Utilization of routinely collected administrative data in monitoring the incidence of aging dependent hip fracture

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