Increasing Incidence of Hip Fracture in Chiang Mai, Thailand

Wongtriratanachai, Prasit; Luevitoonvechkij, Sirichai; Songpatanasilp, Thawee; Sribunditkul, Siripoj; Leerapun, Taninnit; Phadungkiat, Sompant; Rojanasthien, S.

doi:10.1016/j.jocd.2012.07.002

Cited by 22 publications

(18 citation statements)

References 14 publications

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“…The most common cause of fracture in osteoporotic populations is falling from a standing height or less, and 79% of hip fractures result from a simple fall [24]. In the United States, fall-related deaths among patients aged over 65 years increased 31% from 2007 to 2016, and falls are the leading cause of death from unintentional injuries in this population [25].…”

Section: Discussionmentioning

confidence: 99%

Validity and reliability of the self-rated fall risk questionnaire in older adults with osteoporosis

Kitcharanant

Vanitcharoenkul

Unnanuntana

2020

BMC Musculoskelet Disord

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Background Several risk assessments have been developed to evaluate fall risk in older adults, but it has not been conclusively established which of these tools is most effective for assessing fall risk in this vulnerable population. Recently, the U.S. Centers for Disease Control and Prevention (CDC) developed the self-rated Fall Risk Questionnaire (self-rated FRQ), a 12-item questionnaire designed to screen older adults who are at risk of falling and has been widely used in many centers. This study aimed to determine the validity and reliability of the self-rated FRQ in older adults with osteoporosis. Methods This prospective study was conducted at the Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand from December 2019 to March 2020. Sixty-eight men or postmenopausal women aged > 65 years who were diagnosed with osteoporosis either by bone mineral density T-score or by occurrence of fragility fracture were evaluated with the self-rated FRQ, the Thai falls risk assessment test (Thai-FRAT), the timed get-up-and-go test (TUG test), the Berg Balance Scale (BBS), and the 5 times sit-to-stand test (5TSTS test). Validity of the self-rated FRQ was assessed by evaluating the correlations (r) between the self-rated FRQ score and the scores from the other four assessments. Reliability of the self-rated FRQ was evaluated by measuring test-retest reliability and internal consistency. Results The self-rated FRQ was moderately strongly correlated with the BBS, TUG test, and 5TSTS test (r = 0.535 to 0.690; p < 0.001), and fairly correlated with the Thai-FRAT (r = 0.487; p < 0.001). Test-retest reliability of the self-rated FRQ was high, with a Kappa of 1. Internal consistency of the self-rated FRQ was excellent (Cronbach’s alpha: 0.936). Conclusions The self-rated FRQ was found to be a valid and reliable tool for evaluating fall risk in older adults with osteoporosis. Since assessment of fall risk requires a multifaceted measurement tool, the self-rated FRQ is an appropriate tool that can be integrated into the fall risk assessment algorithm in older adults with osteoporosis.

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Section: Discussionmentioning

confidence: 99%

Validity and reliability of the self-rated fall risk questionnaire in older adults with osteoporosis

Kitcharanant

Vanitcharoenkul

Unnanuntana

2020

BMC Musculoskelet Disord

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“…Data on incidence rate of hip fracture was obtained from 9 Asian Federation of Osteoporosis Societies (AFOS) members, including China [ 14 , 15 ], Hong Kong [ 16 ], India [ 17 ], Japan [ 18 , 19 ], Korea [ 20 ], Malaysia [ 21 ], Singapore [ 21 ], Taiwan [ 22 , 23 ], and Thailand [ 24 ] ( Table 1 ). For Taiwan, we noted that a large difference in the incidence of hip fracture were estimated by two studies, due to Chie et al.…”

Section: Methodsmentioning

confidence: 99%

An updated hip fracture projection in Asia: The Asian Federation of Osteoporosis Societies study

Cheung

Ang

Chadha

et al. 2018

Osteoporosis and Sarcopenia

257

182

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ObjectivesHip fracture is a major public health problem. Earlier studies projected that the total number of hip fracture will increase dramatically by 2050, and most of the hip fracture will occur in Asia. To date, only a few studies provided the updated projection, and none of them focused on the hip fracture projection in Asia. Thus, it is essential to provide the most up to date prediction of hip fracture in Asia, and to evaluate the total direct medical cost of hip fracture in Asia.MethodsWe provide the updated projection of hip fracture in 9 Asian Federation of Osteoporosis Societies members using the most updated incidence rate and projected population size.ResultsWe show that the number of hip fracture will increase from 1,124,060 in 2018 to 2,563,488 in 2050, a 2.28-fold increase. This increase is mainly due to the changes on the population demographics, especially in China and India, which have the largest population size. The direct cost of hip fracture will increase from 9.5 billion United State dollar (USD) in 2018 to 15 billion USD in 2050, resulting a 1.59-fold increase. A 2%–3% decrease in incidence rate of hip fracture annually is required to keep the total number of hip fracture constant over time.ConclusionsThe results show that hip fracture remains a key public health issue in Asia, despite the available of better diagnosis, treatment, and prevention of fracture over the recent years. Healthcare policy in Asia should be aimed to reduce the burden of hip fracture.

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“…There are considerable variations among studies with respect to the definition of hip fractures in elderly populations. The present study included all patients 50 years or older, similar to other previous studies from India and other developing countries, which was chosen with the consideration that life expectancy in India is approximately 69 years 12 19 20 21 22 23 24) . However, it is possible that some younger patients in our study may not have had a true osteoporotic fracture.…”

Section: Discussionmentioning

confidence: 99%

Injury Mechanisms of Hip Fractures in India

George

Farooque

et al. 2021

Hip & Pelvis

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Purpose Hip fractures are a major cause of morbidity and mortality in the elderly; however, the current literature on the injury patterns of hip fractures in India is lacking. Understanding the injury profile of these patients is important to develop targeted interventions to prevent hip fractures. Materials and Methods This was a prospective study of all hip fracture patients aged 50 years or older admitted from February 2019 to December 2019. Details about the injury were recorded by an in-person interview. Multivariate logistic regression analysis was used to identify the factors associated with any particular injury mechanism. Results Two hundred and eighty-three hip fractures were included. The mechanism of injury for the majority of patients was a fall from a standing height (n=217, 76.7%) while 60 patients (21.2%) were injured as the result of a road traffic accident (RTA). Slipping on a wet floor (n=49, 22.6%) and change in posture (n=35, 16.1%) were the most commonly reported reasons for falling. Pedestrian injuries were the most common form of RTA (n=29, 48.3%). Increasing age ( P <0.001) and female sex ( P =0.001) were associated with fall as the mode of injury while sustaining another fracture in addition to hip fracture ( P =0.032) was associated with RTA as the mode of injury. Conclusion A fall from standing height is the predominant mode of injury among elderly hip fractures especially among women. Environmental hazards and postural changes are responsible for the majority of falls while pedestrian accidents contribute to a majority of the RTAs.

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Increasing Incidence of Hip Fracture in Chiang Mai, Thailand

Cited by 22 publications

References 14 publications

Validity and reliability of the self-rated fall risk questionnaire in older adults with osteoporosis

Validity and reliability of the self-rated fall risk questionnaire in older adults with osteoporosis

An updated hip fracture projection in Asia: The Asian Federation of Osteoporosis Societies study

Injury Mechanisms of Hip Fractures in India

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