Profile of Patients With Osteoporotic Fractures at a Tertiary Orthopedic Trauma Center

Shu, Michael Minsu; Canhos, Andre Langes; Ocampos, Guilherme Pereira; Plapler, Pérola Grinberg; Camargo, Olavo Pires de; Rezende, Márcia Uchôa de

doi:10.1590/1413-785220182602185325

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…We found that patients with OF were older, weighed less, had a lower mean BMI, and were more likely to be Caucasian, findings that are in agreement with the results of other studies 14 15 However, no great influence of glucocorticoid consumption, alcohol consumption, or smoking was observed as described in the literature 14 . We found a protective relationship against OF in married patients compared to those with other marital statuses (Table 1) as in our previous studies 15 …”

Section: Discussionsupporting

confidence: 91%

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Profile of Patients With Osteoporotic Fractures and Factors That Decrease Prevention

et al. 2019

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Objective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention. Methods: A total of 108 patients with osteoporotic fractures (OF) were compared to 86 patients with OA. Results: Patients in the OF group were older (p < 0.001); had a lower body mass index (p < 0.001); were less literate (p = 0.012); were more frequently Caucasian (p = 0.003); were less frequently married (p < 0.001); experienced more falls, cognitive deficiency, previous fractures, old fracture, falls in the last year, and fall fractures; needed more help and took more medicine for osteoporosis (p < 0.05); and showed less pathology in the feet, muscle weakness, less vitamin D intake, and lower Katz & Lawton scores (p < 0.001). Factors that increased the chance of nonadherence included older age (p = 0.020), falls (p = 0.035), cognitive deficiency (p = 0.044), and presence of depression/apathy/confusion (p < 0.001). Conclusion: Patient age, ethnicity, marital status, previous falls, foot pathologies, muscle weakness, previous fractures, use of vitamin D, use of osteoporosis drugs, and lower Katz & Lawton scale score defined the OF group. Factors that increased the chance of nonadherence included older age, sedative use, cognitive disorders, and symptoms of depression/apathy/confusion. Level of Evidence III, Case-control.

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Section: Discussionsupporting

confidence: 91%

“…, 15 However, no great influence of glucocorticoid consumption, alcohol consumption, or smoking was observed as described in the literature 14 . We found a protective relationship against OF in married patients compared to those with other marital statuses (Table 1) as in our previous studies 15 …”

Section: Discussionsupporting

confidence: 75%

Profile of Patients With Osteoporotic Fractures and Factors That Decrease Prevention

et al. 2019

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“…The mortality risk was also high in elderly patients with hip fractures whose IADL scores were low [36]. In a case-control study conducted with patients with osteoporotic fractures (evidence level III), a one-unit increase in the IADL score decreased the likelihood of fracture by approximately 30% [15]. Due to decreases in muscle strength and muscle mass in people of advanced ages, ADL limitations are more common among the elderly [18].…”

Section: Discussionmentioning

confidence: 99%

“…It has been reported that disability increases as functional capacities decrease in old age and that the elderly experience greater ADL limitations [3,12]. Evidence shows that the loss of senses, such as hearing and vision [13,14], changes in muscle structure or bone density [15] or common chronic conditions that develop following dementia or stroke due to aging lead to a decrease in ADL capabilities [11,16,17]. Mueller-Schotte et al reported that the risk of ADL limitations was twice as high in people with dual sensory loss or hearing loss, which severely reduced the elderly's performance of household tasks, traveling, shopping, preparing meals and walking [18].…”

Section: Introductionmentioning

confidence: 99%

The relationship between types of physical disabilities and the Instrumental Activities of Daily Living (IADL) in the elderly

Mercan¹,

Selçuk²,

Sayılan³

2021

fmpcr

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Background. The increase in the elderly population and life expectancy may lead to increased dependence and disability in performing Instrumental Activities of Daily Living (IADL). Objectives. We aimed to determine the relationship between types of physical disabilities and the Instrumental Activities of Daily Living (IADL) score in people 65 years of age and over. Material and methods. This study was designed as a multicenter, cross-sectional survey that was conducted in Kirklareli, Turkey. The study involved 578 people who were 65 years of age or over and presented to a Family Health Center for any reason. The Lawton and Brody IADL Scale was used to assess activities of daily living (ADL) levels in these elderly participants. Results. We found that 32.9% of all participants and 46.1% of participants with a physical disability experienced a limitation in at least one ADL. After adjusting for descriptive characteristics, people with hearing impairments (AOR= 5.32, 95% CI: 2.41-11.72, p < 0.001) and orthopedic disorders (AOR= 3.65, 95% CI: 1.80-7.38, p < 0.001) were likely to be dependent on other people while performing ADLs. The likelihood of ADL dependency was lower in participants with visual impairments than it was in those without any visual impairment (AOR= 0.21, 95% CI: 0.09-0.49, p < 0.001). Conclusions. ADL limitations are more likely to occur in elderly people with disabilities. The likelihood of ADL dependency was higher in people with a hearing impairment or an orthopedic disorder. This finding should be taken into consideration in studies that aim to improve the health of the elderly.

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“…Danndan Xie and associates in their research find that among other specified risk factors for osteoporosis, a positive family history of earlier fractures and falls represent a significant risk factor for the onset of this disease (1). Also, other scientific studies suggest that previous falls and fractures in family or personal history increase the risk of osteoporosis/osteoporotic fractures several times and that in postmenopausal women they represent strong predictors for the first -incident fracture, especially hip fracture (15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

The Influence of Non-preventable Risk Factors on the Development of Osteoporosis in Postmenopausal Women

Bijelic¹,

Miličević²,

Balaban³

2019

Mater Sociomed

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Introduction: Scientific studies show that many genetic factors can significantly contribute to the onset of osteoporosis in women. Aim: The aim of our study was to determine whether non-preventable risk factors (certain genetic predisposition - positive parameters of family and personal history, i.e. family history of osteoporosis, family history of fractures, osteoporotic fractures, previous fractures, menopause duration) can affect the occurrence of osteoporosis in women in postmenopausal age. Methods: The study was performed as matched case and controls study. A group of cases consisted of 100 female postmenopausal women in whom by the DEXA method was newly diagnosed osteoporosis at the Clinic for Endocrinology, Diabetes and Metabolism of the University Clinical Center of Republic Srpska during 2015-2016, while the control group consisted of 100 female postmenopausal women without diagnostic signs of osteoporosis. Groups were matched by age (± 2 years). In order to collect demographic data and data on risk factors for osteoporosis and life habits of patients, the Bone Mineral Density Questionnaire for females of the Irish Society for Osteoporosis was used. Results: The results of the univariate logistic regression in our study did not show that early loss of the menstrual cycle before 50 years of age was a significant factor for osteoporosis in postmenopausal women (p=0.421, OR=0.966, 95% CI=0.889-1.051). The analysis of the data of a positive family history of osteoporosis as a risk factor by the model of the multivariate of logistic regression shows that the presence of osteoporosis in close relatives (usually the mother) represents a significant and independent risk factor for the development of osteoporosis (p=0.003, OR=4.567, 95% CI=1.674- 12.460). The results of the study show that the presence of earlier fractures in the tested subjects is a significant independent risk factor for osteoporosis (p=0.015, OR=2.464, 95% CI=1.195-5.084). Conclusion: The results of our study show that the presence of osteoporosis in close relatives (usually the mother) and the existence of previous fractures are significant risk factors for the occurrence of osteoporosis. The presence of these factors may be the reason for the selection of patients for further preventive or curative procedures.

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Profile of Patients With Osteoporotic Fractures at a Tertiary Orthopedic Trauma Center

Cited by 5 publications

References 17 publications

Profile of Patients With Osteoporotic Fractures and Factors That Decrease Prevention

Profile of Patients With Osteoporotic Fractures and Factors That Decrease Prevention

The relationship between types of physical disabilities and the Instrumental Activities of Daily Living (IADL) in the elderly

The Influence of Non-preventable Risk Factors on the Development of Osteoporosis in Postmenopausal Women

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