Abstract
Osteoporosis is a chronic disease characterized by a loss of bone mass and deterioration of bone microstructure that lead to a greater risk of fragility fractures. Fall is generally the main cause of fractures. Hip fractures are the most common ones and are usually correlated to a greater morbidity and mortality. The aim of our observational study was to evaluate, among patients with hip fragility fracture, characteristics and circumstances of falls. We conducted a national epidemiological survey, involving 80 physiatrists. They were asked to collect data on patients over 55 years of age who underwent a fragility fracture in the 12 months prior to recruitment. For each patient they had to fill a form including questions on different aspects of patients’ medical history: age, gender, reason for the visit, type of fracture, number of falls in the last year and the year before the fall. Among 419 patients who sustained hip fracture, 70 had experienced a fall, while 119 were incurred in more falls in the 12 months before the fracture. In most people of our cohort, hip fracture was caused by a fall that occurred on the side during the morning.
References
WHO Global report on falls Prevention in older Age. http://www.who.int/ageing/publications/Falls_prevention7March.pdf
Smulders E, van Lankveld W, Laan R, Duysens J, Weerdesteyn V (2011) Does osteoporosis predispose falls? A study on obstacle avoidance and balance confidence. BMC Musculoskelet Disord 3(12):1. doi:10.1186/1471-2474-12-1
Sinaki M, Brey RH, Hughes CA, Larson DR, Kaufman KR (2005) Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kyphotic posture and muscle strength. Osteoporos Int 16:1004–1010
Sinaki M, Khosla S, Limburg PJ, Rogers JW, Murtaugh PA (1993) Muscle strength in osteoporotic versus normal women. Osteoporos Int 3:8–12
Piscitelli P, Gimigliano F, Gatto S, Marinelli A, Gimigliano A, Brandi ML, Gimigliano R, Iolascon G (2010) Hip fractures in Italy: 2000–2005 extension study. Osteoporos Int 21:1323–1330
Istat.it [webpage on the Internet]. [Annual Italian statistics 2010]. Rome: Istituto nazionale di statistica. Available from: http://www3.istat.it/salastampa/comunicati/non_calendario/20101119_00/. Accessed November 14, 2012. Italian
Italian Senate Health Commission (ed) (2002) Official report of the survey on osteoporosis. Italian Senate, Italy
WHO Life tables for WHO Member States [webpage on the Internet]. Health statistics and health information systems. Geneva: World Health Organization; 2012. Available from: http://www.who.int/healthinfo/statistics/mortality_life_tables/en/. Accessed 22 Sept 2012
Smulders E, van Lankveld W, Laan R, Duysens J, Weerdesteyn V (2011) Does osteoporosis predispose falls? A study on obstacle avoidance and balance confidence. BMC Musculoskelet Disord 3(12):1. doi:10.1186/1471-2474-12-1
Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E (2010) Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology 21(5):658–668
Palvanen M, Kannus P, Parkkari J, Pitkäjärvi T, Pasanen M, Vuori I, Järvinen M (2000) The injury mechanisms of osteoporotic upper extremity fractures among older adults: a controlled study of 287 consecutive patients and their 108 controls. Osteoporos Int 11(10):822–831
Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H, Vuori I, Järvinen M (1999) Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int 65(3):183–187
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Iolascon, G., Gravina, P., Luciano, F. et al. Characteristics and circumstances of falls in hip fractures. Aging Clin Exp Res 25 (Suppl 1), 133–135 (2013). https://doi.org/10.1007/s40520-013-0115-9
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DOI: https://doi.org/10.1007/s40520-013-0115-9