Second Hip Fracture in Older Men and Women

Berry, Sarah D.; Samelson, Elizabeth J.; Hannan, Marian T.; McLean, Robert R.; Lu, Mei; Cupples, L. Adrienne; Shaffer, Michele L.; Beiser, Alexa; Kelly-Hayes, Margaret; Kiel, Douglas P.

doi:10.1001/archinte.167.18.1971

Cited by 187 publications

(191 citation statements)

References 36 publications

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“…These mortality rates seem to be lower than previous reports (Berry et al 2007;Haleem et al 2008). Two explanations for these differences are plausible: first, different geographical locations of the patient population might bias the results (Haleem et al 2008); and second, in-hospital deaths may have been included in the overall mortality of the comparison studies.…”

Section: Discussionmentioning

confidence: 61%

“…With a longer life span, there is an increased chance of a subsequent fracture after an initial osteoporotic fracture, which is likely to significantly impact on the survival of fracture patients. The incidence and mortality rates associated with hip fractures have been widely investigated, with studies showing high correlations between a second hip fracture and an increased mortality rate (Berry et al 2007). This raises the question as to the incidence and effects of other types of subsequent fracture following an initial hip fracture.…”

mentioning

confidence: 99%

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A Comparison of Survival Rates for Hip Fracture Patients with or without Subsequent Osteoporotic Vertebral Compression Fractures

Angthong

Harnroongroj

2012

Tohoku J. Exp. Med.

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Little is known about the effect of a subsequent osteoporotic vertebral compression fracture on the survival rate of patients with a previous hip fracture. In this study, we aimed to compare the survival rates of hip fracture patients with and without subsequent osteoporotic vertebral compression fractures and determine the risk factors associated with subsequent fracture. During 2000-2008, 933 initial hip fracture patients were reviewed and divided into two groups: subsequent fracture group (160 patients) and single hip fracture group (i.e., no subsequent fracture; 773 patients). All information pertaining to their most recent fracture event(s), including mortality causes/rates, were recorded. Differences in mortality rates and hazard ratios (HRs) between the two groups were also analyzed. The 1-year and 1-to-5-year mortality rates were 1.3% and 1.9%, respectively, in the subsequent fracture group, and 4.7% and 1.4%, respectively, in the single hip fracture group, with no significant differences observed. Interestingly, the HR for mortality was significantly higher in the single hip fracture group than in the subsequent fracture group (p < 0.05). The significant risk factors for subsequent fractures were identified as knee osteoarthritis, neurological disease, and an initial hip fracture with intertrochanteric involvement. Our findings indicate that the occurrence of a vertebral compression fracture after an initial hip fracture does not greatly impact patient survival. Conversely, patients presenting with a single hip fracture have a significantly higher mortality-HR, indicating that single hip fracture patients without subsequent fracture should be provided with the same standard of care as patients with subsequent fractures.

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Section: Discussionmentioning

confidence: 61%

mentioning

confidence: 99%

A Comparison of Survival Rates for Hip Fracture Patients with or without Subsequent Osteoporotic Vertebral Compression Fractures

Angthong

Harnroongroj

2012

Tohoku J. Exp. Med.

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“…Так, доведеними факторами ризику переломів ПВСК вважають вік старше від 65 років, належність до жі-ночої статі, попередні переломи в анамнезі, схиль-ність до падінь, сімейний анамнез переломів ПВСК, тривалий прийом глюкокортикоїдів, зловживання алкоголем, дефіцит вітаміну D та наявність деяких соматичних захворювань, зокрема паркінсонізму, цукрового діабету ІІ типу, ревматоїдного артриту та ін. [3,[13][14][15][16][17][18][19][20].…”

Section: âñòóïunclassified

“…Розподіл показника 10-річної ймовірності переломів стегнової кістки в чоловіків та жінок до перелому ПВСК вікових груп більш часто зустрічаються переломи кісток передпліччя, зокрема переломи Колліса, а переломи тіл хребців більш характерні для осіб літного віку. Обидва види переломів у декілька разів збільшують частоту по-вторних переломів, а також інших остеопоротичних пе-реломів [16][17][18][19].…”

Section: îáãîâîðåííÿunclassified

“…У 25,8 % хворих встановлено попередні переломи тіл хребців, 12,1 % -переломи плечової кістки, а в 3 хворих (4,5 %) -повторний перелом ПВСК конт-ралатеральної кінцівки. Подібні результати виявлені й у інших дослідженнях [16][17][18][19], що підтверджують гіпо-тезу щодо каскаду остеопоротичних переломів у жінок старших вікових груп.…”

Section: îáãîâîðåííÿunclassified

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Фактори Ризику Переломів Проксимального Відділу Стегнової Кістки У Хворих Старших Вікових Груп

Grygorieva¹,

Zubach²

2022

TRAUMA

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Trends in Hip Fracture Rates in Canada

Leslie

O’Donnell²,

Jean³

et al. 2009

JAMA

301

136

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Context Hip fractures are a public health concern because they are associated with significant morbidity, excess mortality, and the majority of the costs directly attributable to osteoporosis. Objective To examine trends in hip fracture rates in Canada. Design, Setting, and Patients Ecologic trend study using nationwide hospitalization data for 1985 to 2005 from a database at the Canadian Institute for Health Information. Data for all patients with a hospitalization for which the primary reason was a hip fracture (570 872 hospitalizations) were analyzed. Main Outcome Measures Age-specific and age-standardized hip fracture rates. Results There was a decrease in age-specific hip fracture rates (all P for trend Ͻ.001). Over the 21-year period of the study, age-adjusted hip fracture rates decreased by 31.8% in females (from 118.6 to 80.9 fractures per 100 000 person-years) and by 25.0% in males (from 68.2 to 51.1 fractures per 100 000 person-years). Joinpoint regression analysis identified a change in the linear slope around 1996. For the overall population, the average age-adjusted annual percentage decrease in hip fracture rates was 1.2% (95% confidence interval, 1.0%-1.3%) per year from 1985 to 1996 and 2.4% (95% confidence interval, 2.1%-2.6%) per year from 1996 to 2005 (PϽ.001 for difference in slopes). Similar changes were seen in both females and males with greater slope reductions after 1996 (PϽ.001 for difference in slopes for each sex). Conclusions Age-standardized rates of hip fracture have steadily declined in Canada since 1985 and more rapidly during the later study period. The factors primarily responsible for the earlier reduction in hip fractures are unknown.

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Second Hip Fracture in Older Men and Women

Cited by 187 publications

References 36 publications

A Comparison of Survival Rates for Hip Fracture Patients with or without Subsequent Osteoporotic Vertebral Compression Fractures

A Comparison of Survival Rates for Hip Fracture Patients with or without Subsequent Osteoporotic Vertebral Compression Fractures

Фактори Ризику Переломів Проксимального Відділу Стегнової Кістки У Хворих Старших Вікових Груп

Trends in Hip Fracture Rates in Canada

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