Incidence of subsequent hip fractures is significantly increased within the first month after distal radius fracture in patients older than 60 years

Chen, Chia Wen; Huang, Tzung Chi; Su, Li; Kuo, Yi Chun; Wu, Sai Chuen; Li, Chi Yuan; Chen, Kuen‐Bao; Sung, Fung Chang

doi:10.1097/ta.0b013e31824bb325

Cited by 49 publications

(40 citation statements)

References 24 publications

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“…The risk of subsequent hip fracture in patients with distal radius fracture was 5.67 times higher than that in the comparison cohort, with the HR of 3.45 37. Patients with previous nonvertebral minimal trauma fracture had 5.3-fold increases in getting another fracture with the usual primary care follow-up.…”

Section: Resultsmentioning

confidence: 85%

“…The rest of the studies were carried out in Canada,34 Iceland,35 Japan,15 and Sweden 36. The subsequent fracture classification included studies from Taiwan,37 Australia and New Zealand,38 United States,39 New Zealand,40 Australia,41 and Sweden 42. The mortality classification included studies from Denmark,45 Australia,46 Canada,47 Sweden,48,51 France,49 and Sweden51.…”

Section: Resultsmentioning

confidence: 99%

“…The subsequent fracture classification measured outcome parameter in terms of risk of subsequent fracture37,38,41,42 and HR of subsequent fracture 39,40. The mortality classification measured outcome parameter in terms of mortality rate,45,48,49 standardized mortality ratio,46 age-and risk-adjusted mortality,47 postoperative mortality,50 and mortality risk 51…”

Section: Resultsmentioning

confidence: 99%

“…There were six studies that assessed the risk of subsequent fractures after an osteoporotic fracture. Most of the studies focused on certain types of fracture, for eg, radius, or classify fractures into groups, for eg, nonvertebral or nonhip fractures 37–39. Only one study has examined the subsequent fracture risks for all types of osteoporotic fractures 40…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality

Nazrun¹,

Khaithir²,

Mokhtar³

et al. 2014

TCRM

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PurposeOsteoporotic fracture is the main complication of osteoporosis. The current management is to discharge patients as early as possible so they can get back to their daily activities. Once discharged, there are three main issues relating to morbidity, mortality, and risk of a subsequent fracture that need to be addressed and discussed. Therefore, the aim of this systematic review was to summarize and evaluate the evidence from published literature, to determine the outcome of osteoporotic fracture patients after their hospital discharge.MethodsThe MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were searched, using the terms “osteoporosis”, “fracture”, “osteoporotic fracture”, “hip fracture”, and “vertebral fracture”. We included only human studies published in English between 2004 and 2014. The reference lists of included studies were thoroughly reviewed in search for other relevant studies.ResultsA total of 18 studies met the selection criteria. Most were observational and cohort studies. Out of all the studies, five studies looked into the morbidity, six studies looked into the risk of subsequent fractures, and seven studies looked into mortality. Vertebral fracture caused the greatest health burden, but hip fracture patients were the main users of informal care after hospital discharge. There was an increased risk of a subsequent fracture after a primary fracture compared with the control group, a cohort comparison, or the general population. Osteoporotic fractures, especially hip fractures, are associated with higher mortality rate despite the advances in the management of osteoporotic fracture cases.ConclusionThere is strong evidence to show that after hospital discharge, osteoporotic fracture patients are faced with higher morbidity, subsequent fractures, and mortality.

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Section: Resultsmentioning

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality

Nazrun¹,

Khaithir²,

Mokhtar³

et al. 2014

TCRM

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“…1 Age-related osteoporosis underlies many of these fractures arising from minimal trauma. 3 With this in mind, modalities that give patients and their clinicians accessible ways to monitor the health of their bones are desirable.…”

Section: Discussionmentioning

confidence: 99%

Assessing Bone Mineral Density Following Acute Hip Fractures

Emohare

Wiggin

Hemmati

et al. 2014

Geriatr Orthop Surg Rehabil

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Wrist Fracture and Risk of Subsequent Fracture: Findings from the Women's Health Initiative Study

Crandall

Hovey

Cauley

et al. 2015

Journal of Bone and Mineral Research

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Wrist fractures are common in postmenopausal women and are associated with functional decline. Fracture patterns after wrist fracture are unclear. The goal of this study was to determine the frequency and types of fractures that occur after a wrist fracture among postmenopausal women. We carried out a post-hoc analysis of data from the Women’s Health Initiative Observational Study and Clinical Trials (1993–2010) carried out at 40 U.S. clinical centers. Participants were postmenopausal women aged 50–79 at baseline. Mean follow-up duration was 11.8 years. Main measures included incident wrist, clinical spine, humerus, upper extremity, lower extremity, hip, and total non-wrist fractures and bone mineral density (BMD) in a subset. Among women who experienced wrist fracture, 15.5% subsequently experienced non-wrist fracture. The hazard for non-wrist fractures was higher among women who had experienced previous wrist fracture than among women who had not experienced wrist fracture: non-wrist fracture overall (hazard ratio [HR] 1.40, 95% confidence interval [CI] 1.33–1.48), spine (HR 1.48, 95% CI 1.32–1.66), humerus (HR 1.78, 95% CI 1.57–2.02), upper extremity (non-wrist) (HR 1.88, 95% CI 1.70–2.07), lower extremity (non-hip) (HR 1.36, 95% CI 1.26–1.48), and hip (HR 1.50, 95% CI 1.32–1.71) fracture. Associations persisted after adjustment for BMD, physical activity, and other risk factors. Risk of non-wrist fracture was higher in women who were younger when they experienced wrist fracture (interaction p-value 0.02). Associations between incident wrist fracture and subsequent non-wrist fracture did not vary by baseline BMD category (normal, low bone density, osteoporosis). A wrist fracture is associated with increased risk of subsequent hip, vertebral, upper extremity, and lower extremity fractures. There may be substantial missed opportunity for intervention in the large number of women who present with wrist fractures.

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Incidence of subsequent hip fractures is significantly increased within the first month after distal radius fracture in patients older than 60 years

Abstract: Prognostic/epidemiologic study, level II.

Cited by 49 publications

References 24 publications

A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality

A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality

Assessing Bone Mineral Density Following Acute Hip Fractures

Wrist Fracture and Risk of Subsequent Fracture: Findings from the Women's Health Initiative Study

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Incidence of subsequent hip fractures is significantly increased within the first month after distal radius fracture in patients older than 60 years

Abstract: Prognostic/epidemiologic study, level II.

Cited by 49 publications

References 24 publications

A systematic review of the outcomes of&nbsp;osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and&nbsp;mortality

A systematic review of the outcomes of&nbsp;osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and&nbsp;mortality

Assessing Bone Mineral Density Following Acute Hip Fractures

Wrist Fracture and Risk of Subsequent Fracture: Findings from the Women's Health Initiative Study

Contact Info

Product

Resources

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A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality

A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality