Survival rate and physical activity in elderly patients after femoral neck fracture.

Shichita, Keiko; Endo, Chieko; Shibazaki, Kimiko; Shunji, Karube; Oda, Hiromi; Igarashi, Mituo; Hayashi, Yujiro

doi:10.3143/geriatrics.25.563

Cited by 3 publications

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“…Vertebral fractures are very common in elderly Japanese women 11 and cause deformity and disability 12,13 . Hip fractures are the most serious fractures, which contribute substantially to morbidity and even mortality in Japanese elderly 14,15 . However, these osteoporotic fractures not only cause disability and morbidity, but also have important influences on mental health, self‐image, and functional capacity in daily life, which cannot be captured easily using conventional clinical measurements 16,17 …”

Section: Discussionmentioning

confidence: 99%

Effects of osteoporotic fractures on quality of life‐related variables in the community elderly in Japan: An 8‐year follow‐up study in TMIG‐LISA

Yoshida¹,

Suzuki²,

Kim³

et al. 2003

Geriatrics Gerontology Int

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Background: The purpose of this study was to investigate the long‐term influence of osteoporotic fractures on (1) self‐rated health (SRH); (2) instrumental activity of daily living (I‐ADL); and (3) state of depression, all of which are the major variables related to quality of life (QOL) in the elderly. Methods: The subjects were 504 men and women who participated in the Longitudinal Interdisciplinary Study on Aging conducted by the Tokyo Metropolitan Institute of Gerontology (TMIG‐LISA) from 1992 to 2000. Among those interviewed, 50 participants (15 males and 35 females) who sustained fractures spontaneously or by minor trauma were diagnosed as having osteoporotic fractures. A nested case‐control (1 : 1) study with sex‐and age‐matched controls was conducted as statistical analysis to identify the effects of osteoporotic fractures on QOL‐related variables. Results: For self‐rated health, the frequency of ‘poor’ self‐rated health increased significantly in the cases from 19.6% at baseline (1992) to 42.6% at the 8‐year follow‐up (2000). In the controls, there was no significant increase in frequency of ‘poor’ rating. The proportion of subjects with impaired I‐ADL during 8 years increased significantly in the cases from 12.0% in 1992 to 38.0% in 2000, and also in the controls from 14.0% in 1992 to 36.0% in 2000. The prevalence of depressive status increased in the cases from 32.6% to 50.0%. There was, however, no statistically significant difference between cases and controls. Conclusion: The results suggest that osteoporotic fractures at any site are associated with serious and remarkable decline of overall QOL‐related variables among the community elderly.

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Section: Discussionmentioning

confidence: 99%

Effects of osteoporotic fractures on quality of life‐related variables in the community elderly in Japan: An 8‐year follow‐up study in TMIG‐LISA

Yoshida¹,

Suzuki²,

Kim³

et al. 2003

Geriatrics Gerontology Int

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Clinical factors as predictors of the risk of falls and subsequent bone fractures due to osteoporosis in postmenopausal women

et al. 2006

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In Japan, the "bedridden state" is one of the most serious problems the aged face, and it is becoming a social problem. The main causes of the bedridden state are cerebrovascular disorders and bone fractures following falls. The purpose of this study was to predict risk factors for falls and resultant bone fracture due to osteoporosis. We explored mobility parameters for possible fall prevention. In order to examine the correlation between the risk of falling and resultant bone fracture due to osteoporosis, logistic regression analysis was performed between bone mass (independent variable) and various factors dependent variables: body mass index [BMI], body fat percentage, atherogenic index, presence of transformation-related osteoarthritis of knee, presence of transformation-related osteoarthritis of spine, maximum step length, single-leg stance with open eyes, and hip-joint flexion motion angle); predictive factors were then examined. Predictive factors were determined by the stepwise method. Subjects who could not perform the "single-leg stance with open eyes" test had a risk of falling and bone fracture 2.49 times as large as that of subjects who could. The "single-leg stance with open eyes" test may be considered a useful method for the early detection of the risk of falling and bone fracture associated with osteoporosis. As a first step to identify factors predicting the occurrence of falls and bone fractures due to osteoporosis, we intended to discover an indicator that would help to detect incipient osteoporosis.

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Decision trees on gait independence in patients with femoral neck fracture

Arai

Kaneko²,

Fujita³

2011

Jpn J Geriat

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Survival rate and physical activity in elderly patients after femoral neck fracture.

Abstract: The survival rate and physical activities of 867 cases of femoral neck fracture discharged after hospitalization during the past 12 years were investigated. The average age was 78.82 years and the average period of observation was 4.12 years. The death rate was 51.9% in men

Cited by 3 publications

References 0 publications

Effects of osteoporotic fractures on quality of life‐related variables in the community elderly in Japan: An 8‐year follow‐up study in TMIG‐LISA

Effects of osteoporotic fractures on quality of life‐related variables in the community elderly in Japan: An 8‐year follow‐up study in TMIG‐LISA

Clinical factors as predictors of the risk of falls and subsequent bone fractures due to osteoporosis in postmenopausal women

Decision trees on gait independence in patients with femoral neck fracture

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