Incidence of Hip Fractures in Jeju Island, South Korea: A Prospective Study (2002-2006)

Abstract

BackgroundThis study was perfomed to estimate the incidence of hip fractures of people older than 50 years in South Korea.MethodsInformation of patients over 50 years of age who had sustained a hip fracture were obtained from the records of eight hospitals in Jeju Island between 2002 and 2006 to calculate the incidence of hip fractures in this age group.ResultsThere were 820 hip fractures during the study period. The mean age of the patients at the time of fracture was 77.8 years (71.3 years in 181 men, 79.7 years in 639 women). The crude incidence was 128/100,000 (66.1/100,000 in men, 174.4/100,000 in women). The age-specific incidence according to the 10-year age groups increased from 19.3/100,000 for those 50 to 59 years of age to 1,095.4/100,000 for those over 90 years of age (18.9/100,000-960.4/100,000 in men and 19.7/100,000-1112.1/100,000 in women). The standardized incidence of hip fracture to the Caucasian population in the United States in 1990 was 100/100,000 for men and 207/100,000 for women.ConclusionsHip fractures will become an important socioeconomic problem in South Korea due to the rapid aging of the population.

Does a geographical context of deprivation affect differences in injury mortality? A multilevel analysis in South Korean adults residing in metropolitan cities

“…In contrast, studies in European cities12 and Canada11 reported that there were no associations between area level deprivation and mortality from fall injuries. In South Korea, senior citizens with a lower household income were reportedly more susceptible to fall related fatalities due to the increased risks from their residential conditions, with hazards such as steep street slopes, poorly designed stairs and slippery bathroom tiles 30. Other individual and geographic characteristics, including individual comorbidities, access to safety aids and access to appropriate facilities, might have contributed to the differences in fall mortality rates.…”

Morbidity and Mortality in Jeju Residents over 50-Years of Age with Hip Fracture with Mean 6-Year Follow-Up: A Prospective Cohort Study

“…Previously, we performed a cohort study on hip fracture incidence in patients aged 50 yr or older who were admitted at eight hospitals of Jeju island for a hip fracture between January 2002 and December 2006 (11). Seven hundred and ninety patients with a diagnosis of femoral neck or intertrochanteric fracture were enrolled and followed (11).…”

“…Seven hundred and ninety patients with a diagnosis of femoral neck or intertrochanteric fracture were enrolled and followed (11). …”

Current trends and future projections of hip fracture in South Korea using nationwide claims data

“…Second, this study could not differentiate between the variety of pathologic fractures that can occur in the hips of the elderly, which could have led to our underestimating the incidence of fractures in this group. However, we previously validated these national claim data against a cohort study in Korea and found a sensitivity of 93 % and a positive predicted value of 77.4 % [40].…”