Incidence Of Osteoporotic Hip Fracture Research Articles

Risk factors for falls as a cause of hip fracture in the elderly.

Almost all epidemiologic studies have shown that the age-adjusted incidence of osteoporotic hip fracture has been increasing during the last decades. Although the age-related bone loss is considered to be a crucial determinant of the incidence of hip fracture, spontaneous fractures appear to be uncommon: about 90% of hip fractures in the elderly result from a fall. This article focuses on the different risk factors for falls. Poor health status (especially chronic illness), impaired mobility and postural instability, and a history of prior falls have been associated with the risk of falling. Balance can also be impaired by disease (such as a broad spectrum of ophthalmologic and neurologic disorders) or age-related changes in number of anatomical structures, by medications which reduce their efficient functioning (such as some psychotropic or antihypertensive drugs) and by environmental hazards. The identification of elderly patients at risk for falling and intervention to minimize risk without compromising functional independence should receive a high priority in the health care of elderly persons.

Hip fracture incidence and mortality in New England : Epidemiology 1991 2/2 (116–122)

We used Medicare data to conduct a population-based study of osteoporotic hip fracture incidence and outcomes among New England residents. To reduce bias and improve data reliability, we combined data from multiple files; we found that 6% of cases would have been missed had we relied on hospital claims alone. Hip fracture incidence (per 1,000 person-years) increased for white females from 2.2 for ages 65-69 to 31.8 for ages 90-94 and for white males from 0.9 for ages 65-69 to 20.8 for ages 90-94. Incidence among blacks was lower in all age/sex groups. The female/male relative risk was greater among whites than among blacks. Case fatality following hip fracture was 12.5% at 90 days and 23.7% at 1 year and was higher among males, older patients, and those who had documented comorbidity or who were residents of nursing homes.

Hip Fracture Incidence and Mortality in New England

We used Medicare data to conduct a population-based study of osteoporotic hip fracture incidence and outcomes among New England residents. To reduce bias and improve data reliability, we combined data from multiple files; we found that 6% of cases would have been missed had we relied on hospital claims alone. Hip fracture incidence (per 1,000 person-years) increased for white females from 2.2 for ages 65-69 to 31.8 for ages 90-94 and for white males from 0.9 for ages 65-69 to 20.8 for ages 90-94. Incidence among blacks was lower in all age/sex groups. The female/male relative risk was greater among whites than among blacks. Case fatality following hip fracture was 12.5% at 90 days and 23.7% at 1 year and was higher among males, older patients, and those who had documented comorbidity or who were residents of nursing homes.