Epidemiology of Hip Fractures

Cumming, Robert; Nevitt, Michael C.; Cummings, Steven R.

doi:10.1093/oxfordjournals.epirev.a017956

Cited by 268 publications

(170 citation statements)

References 194 publications

(202 reference statements)

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“…The predominant mechanism of injury was trivial falls in 26 (54.2 %) patients. This is in keeping with previous studies [23][24][25]. Seven (14.6%) patients were involved in motorcycle accident reflecting the recklessness of commercial motorcyclist as a common etiology for trauma in developing countries [20,21] .…”

Section: Discussionsupporting

confidence: 91%

“…This was superficial surgical site infection and was treated by removal of alternate stitches, daily wound dressing and antibiotics therapy according to sensitivity pattern. Some local studies reported crude infection rate of (4.8 -20%) [20,21] and international studies (0-4.7%) [25,29] . Rate of infection is kept low by observing aseptic techniques, routine use of prophylactic antibiotic, general measures for keeping operation room clean and keeping such patients in the ward away from the infected patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Outcome Following Treatment Of Pertrochanteric Fractures With Dynamic Hip Screw In A Nigerian Rehabilitation Hospital

D.D¹,

M.N²,

F.O³

2014

IOSRJDMS

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Clinical Outcome Following Treatment Of Pertrochanteric Fractures With Dynamic Hip Screw In A Nigerian Rehabilitation Hospital

D.D¹,

M.N²,

F.O³

2014

IOSRJDMS

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“…smoking and physical activity) or by residual confounding due to the use of crude measures. Whilst smoking is an independent risk factor for hip fracture [19,20] and may be associated with use of CS, it was not an important confounding factor in a recent study on use of inhaled CS and risk of hip fracture [11]. Additionally, only reimbursed drugs are registered in the Pharmaco-epidemiological Prescription Database, and the use of anxiolytic drugs consequently may have been underestimated as these drugs are often not reimbursed.…”

Section: Discussionmentioning

confidence: 99%

Corticosteroid use and risk of hip fracture: a population‐based case–control study in Denmark

Vestergaard

Olsen²,

Johnsen³

et al. 2003

Journal of Internal Medicine

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“…Moreover, there is an increased risk for "fallrelated" injuries among the older population. Risk factors, such as anxiety, cognitive deficiencies, depression, declining vision, decreased physical activity, weakening neuromuscular factors, osteoarthritis, and increased psychotropic medication and diuretic consumption, can all contribute to sustaining a fall-related injury [8][9][10]. A study conducted by Hulla et al provided an example of new important issues of chronic pain and "fall-risk, " by revealing that older adults with CLBP performed more poorly in balance-activities and various psychosocial dimensions, relative to their demographically-matched counterparts without CLBP [11].…”

Section: Physical Interventionsmentioning

confidence: 99%

The Chronic Low Back Pain Epidemic in Older Adults in America

Bevers¹,

Hulla²,

Rice³

et al. 2017

J Pain Relief

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Chronic low back pain is a debilitating condition affecting millions of Americans annually. Older-adult populations suffer a high prevalence of this continually painful state, and further face a unique set of challenges to manage short-and long-term biopsychosocial functioning. As the population ages, and the proportion of older adults grow, it is essential to explore and develop the most effective interdisciplinary strategies to care for older adults who are chronic pain sufferers. In this Commentary, we highlight some of the special challenges that the older-adult population encounters, and their influence on pain management strategies.Keywords: Low back pain; Chronic pain; Biopsychosocial; America; Older adults CommentaryChronic low back pain (CLBP) is a widely prevalent condition affecting more than 25 million Americans [1]. In a recent 2014 report by the National Health Interview Survey (NHIS), it was noted that low back pain was the most prevalent reported pain site, exceeding joint conditions, headache/migraines, neck, and facial, or jaw pain [2]. Roughly one third (34%) of adults aged 65-74, and adults aged 75 and over (34.9%), reported low back pain in the last 3-months [2]. As the population ages, CLBP reports are expected to rise, further necessitating the need to develop interdisciplinary pain management strategies for this growing part of the population [3].In addition to CLBP, older adult populations often have multiple conditions that can complicate and limit traditional pain management therapies. As a result, they face distinctive challenges regarding healthcare regimens, including adherence, physical ability, psychological and social conditions, age-related mental decline, agerelated physical decline, and pharmacological intake concerns. Furthermore, general physical decline due to aging often limits the patient's ability to participate in physical interventions, such as exercise and more vigorous physical therapies. Often, simple stretching techniques or light exercise may not be a viable option [4]. Additionally, psychosocial status must be evaluated for adherence and well-being. Chronic pain patients often experience depression, anxiety, and sleep disorders [5], as well as dementia, Alzheimer's, and other ailments that can impede proper care.Medications are widely prescribed to help combat pain, particularly when these physical limitations are present. On average, older Americans consume multiple medications daily [6]. The large volume of prescription medication consumption certainly influences the available and appropriate treatment options to both avoid side-effects and maintain good quality-of-life. Considering these astonishing figures, it is vital to develop comprehensive, interdisciplinary preventive measures and pain management strategies in order to account for the unique concerns of the older-adult population. This Commentary aims to highlight some of the special challenges the older-adult population faces, and the importance of implementing interdisciplinary treatment strate...

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Epidemiology of Hip Fractures

Cited by 268 publications

References 194 publications

Clinical Outcome Following Treatment Of Pertrochanteric Fractures With Dynamic Hip Screw In A Nigerian Rehabilitation Hospital

Clinical Outcome Following Treatment Of Pertrochanteric Fractures With Dynamic Hip Screw In A Nigerian Rehabilitation Hospital

Corticosteroid use and risk of hip fracture: a population‐based case–control study in Denmark

The Chronic Low Back Pain Epidemic in Older Adults in America

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