دورية أكاديمية

Contralateral hip fractures and other osteoporosis-related fractures in hip fracture patients: incidence and risk factors. An observational cohort study of 1,229 patients.

التفاصيل البيبلوغرافية
العنوان: Contralateral hip fractures and other osteoporosis-related fractures in hip fracture patients: incidence and risk factors. An observational cohort study of 1,229 patients.
المؤلفون: Vochteloo AJ; Department of Orthopaedics, Reinier de Graaf Group, PO box 5011, 2600 GA, Delft, The Netherlands. ajhvochteloo@hotmail.com, Borger van der Burg BL, Röling MA, van Leeuwen DH, van den Berg P, Niggebrugge AH, de Vries MR, Tuinebreijer WE, Bloem RM, Nelissen RG, Pilot P
المصدر: Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2012 Aug; Vol. 132 (8), pp. 1191-7. Date of Electronic Publication: 2012 Apr 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 9011043 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-3916 (Electronic) Linking ISSN: 09368051 NLM ISO Abbreviation: Arch Orthop Trauma Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin : Springer International, c1989-
مواضيع طبية MeSH: Hip Fractures/*epidemiology , Osteoporotic Fractures/*epidemiology, Aged, 80 and over ; Cohort Studies ; Female ; Humans ; Incidence ; Male ; Retrospective Studies ; Risk Factors
مستخلص: Purpose: To report risk factors, 1-year and overall risk for a contralateral hip and other osteoporosis-related fractures in a hip fracture population.
Methods: An observational study on 1,229 consecutive patients of 50 years and older, who sustained a hip fracture between January 2005 and June 2009. Fractures were scored retrospectively for 2005-2008 and prospectively for 2008-2009. Rates of a contralateral hip and other osteoporosis-related fractures were compared between patients with and without a history of a fracture. Previous fractures, gender, age and ASA classification were analysed as possible risk factors.
Results: The absolute risk for a contralateral hip fracture was 13.8 %, for one or more osteoporosis-related fracture(s) 28.6 %. First-, second- and third-year risk for a second hip fracture was 2, 1 and 0 %. Median (IQR) interval between both hip fractures was 18.5 (26.6) months. One-year incidence of other fractures was 6 %. Only age was a risk factor for a contralateral hip fracture, hazard ratio (HR) 1.02 (1.006-1.042, p = 0.008). Patients with a history of a fracture (33.1 %) did not have a higher incidence of fractures during follow-up (16.7 %) than patients without fractures in their history (14 %). HR for a contralateral hip fracture for the fracture versus the non-fracture group was 1.29 (0.75-2.23, p = 0.360).
Conclusion: The absolute risk of a contralateral hip fracture after a hip fracture is 13.8 %, the 1-year risk was 2 %, with a short interval between the 2 hip fractures. Age was a risk factor for sustaining a contralateral hip fracture; a fracture in history was not.
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تواريخ الأحداث: Date Created: 20120425 Date Completed: 20121226 Latest Revision: 20220408
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC3400761
DOI: 10.1007/s00402-012-1520-9
PMID: 22526197
قاعدة البيانات: MEDLINE
الوصف
تدمد:1434-3916
DOI:10.1007/s00402-012-1520-9