The incidence of hip fractures in independent and institutionalized elderly people

Ooms, Marius; Vlasman, P.; Lips, Paul; Nauta, Joske; Bouter, Lex M.; Valkenburg, H. A.

doi:10.1007/bf02352254

Cited by 101 publications

(65 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The findings with respect to age and gender have also been reported in previous studies [6,9,13]. The high incidence of hip fractures in residents of homes for the elderly (25.5 per 1000 person-years) compared with the total population confirms previous results in the population of Amsterdam [14]. Other fractures, not of the hip or distal forearm, were related to gender only.…”

Section: Discussionsupporting

confidence: 89%

Different risk profiles for hip fractures and distal forearm fractures: A prospective study

et al. 1996

Self Cite

View full text Add to dashboard Cite

Abstract. In a prospective cohort of elderly persons, aged 70 years and over, we examined risk indicators for which data could be easily obtained, to construct risk profiles for hip fractures and distal forearm fractures. Participants lived independently, in apartment houses for the elderly or in homes for the elderly. At baseline, information was obtained in 2578 subjects on age, gender, residence, mobility and the frequency of going outdoors. Mobility was measured using a walking score ranging from 1 (not able to walk independently) to 3 (able to walk independently for a fair distance). During the study period (median duration 3.5 years, maximum 4 years) 106 participants sustained a hip fracture and 60 participants suffered a distal forearm fracture. Women compared with men, adjusted for age, had a higher risk of hip fracture (adjusted relative risk (RR) = 2.4, 95% confidence interval (CI) 1.3-4.3) and distal forearm fracture (RR = 3.7, 95% CI 1.5-9.2). Age, adjusted for gender, was related to hip fractures only: the relative risk of fracture for those in the highest age category (>85 years) was 9.5 (95% CI 4.3-21.2) compared with those in the lowest age category (70-75 years). Moderately impaired walking ability compared with normal walking ability, adjusted for age and gender, was associated with a higher risk of hip fracture (RR = 1.8, 95% CI 1.2-2.7) but with a lower risk of distal forearm fracture (RR = 0.4, 95% CI 0.2-0.8). The outdoor score, adjusted for age and gender, was associated with distal forearm fractures only: going outdoors less than once a week, compared with three times or more, was associated with a lower risk of fractures (RR = 0.3, 95%Correspondence and offprint requests to: W. C. Graafmans, Institute for Research in Extramural Medicine (EMGO Institue), Vrije Universiteit, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.CI 0.1-0.9). In those living in homes for the elderly the risk of hip fracture was higher compared with those living independently (RR = 2.4, 95% CI 1.4-4.2), adjusted for age and gender. Risk profiles were constructed using stepwise Cox's proportional-hazards regression. The risk profile predicted probabilites of sustaining a hip fracture in a 4-year period ranging from 0.4% to 25.9%, and of distal forearm fractures ranging from 0.2% to 4.5%, depending on the subject's characteristics as defined by the risk indicators. We conclude that easily obtainable risk indicators can be used in the prediction of fractures and can discriminate among fracture types.

show abstract

Section: Discussionsupporting

confidence: 89%

Different risk profiles for hip fractures and distal forearm fractures: A prospective study

et al. 1996

Self Cite

View full text Add to dashboard Cite

show abstract

“…In 2012, LTC residents had up to double the relative risk for hip fractures, which is lower than what was reported in older studies [24][25][26][27]. Older studies reported the highest risk ratios in the youngest senior age strata [15,25]. For the LTC cohort, our incidence rates were similar to [15,27,28] or lower than [29,30] other published studies on institutionalized populations, particularly Chandler et al who reported a rate of 109 osteoporotic fractures per 1000 person-years [31].…”

Section: Discussioncontrasting

confidence: 41%

“…For hip fractures, our age-adjusted risk ratios for LTC versus community residents were similar to those reported by Crilly et al [15] for women and lower for men. In 2012, LTC residents had up to double the relative risk for hip fractures, which is lower than what was reported in older studies [24][25][26][27]. Older studies reported the highest risk ratios in the youngest senior age strata [15,25].…”

Section: Discussionmentioning

confidence: 87%

Comparative trends in incident fracture rates for all long-term care and community-dwelling seniors in Ontario, Canada, 2002–2012

et al. 2016

View full text Add to dashboard Cite

Summary-In this population-based study, we compared incident fracture rates in long-term care (LTC) versus community seniors between 2002 and 2012. Hip fracture rates declined more rapidly in LTC than in the community. An excess burden of fractures occurred in LTC for hip, pelvis, and humerus fractures in men and hip fractures only in women.Introduction-This study compares trends in incident fracture rates between long-term care (LTC) and community-dwelling seniors ≥65 years, 2002-2012.

show abstract

“…Furthermore, application of hip protectors in nursing homes by staff may be considered an important cointervention, not available in other group residence settings; this issue could be another contributor to clinical heterogeneity of pooled analyses of mixed populations. The nursing home population was of greatest clinical interest, as this population is known to be at extremely high risk for osteoporosis [14][15][16], falls [17], cognitive impairment (leading to falls and hip fracture) [16], and hip fracture [18][19][20].…”

Section: Selection Of Trials For Inclusion and Data Abstractionmentioning

confidence: 99%

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Sawka

Boulos

Beattie

et al. 2007

Journal of Clinical Epidemiology

View full text Add to dashboard Cite

Objective-To design a Bayesian random effects model for pooling binary outcome data from cluster randomized trials (CRTs) with individually randomized trials (IRTs) and then use this model to determine if hip protectors decrease the risk of hip fracture in elderly nursing home residents.Study Design and Setting-Eight electronic databases were searched; abstracts and papers were reviewed in duplicate. Randomized controlled trials of hip protectors in nursing homes were included. The pooled mean odds ratio (OR) of a hip fracture in an individual allocated to hip protectors with 95% credibility interval (CRI) was calculated. CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptResults-We included four trials of 1,922 individuals (including three CRTs). The pooled OR of an elderly nursing home resident sustaining one or more hip fractures with hip protector allocation was 0.40 (95% CRI 0.25, 0.61). The model was robust in multiple sensitivity analyses assuming alternative intracluster correlation coefficient values. Conclusion-TheBayesian approach may be used in meta-analyses of IRTs and CRTs. Using this approach, we have determined that hip protectors decrease the risk of hip fracture in elderly nursing home residents. Methodologic limitations of the included trials and a possible herd effect in CRTs may have influenced these results.

show abstract

The incidence of hip fractures in independent and institutionalized elderly people

Cited by 101 publications

References 14 publications

Different risk profiles for hip fractures and distal forearm fractures: A prospective study

Different risk profiles for hip fractures and distal forearm fractures: A prospective study

Comparative trends in incident fracture rates for all long-term care and community-dwelling seniors in Ontario, Canada, 2002–2012

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Contact Info

Product

Resources

About