Differential impact of some risk factors on trochanteric and cervical hip fractures.

Abstract:

AIM:To investigate the potential distinct risk factors associated with trochanteric and cervical hip fractures. METHODS:Elderly patients aged 65 years and older (n = 1161) were admitted to the orthopedic department with hip fractures during the years 2006-2011. Demographic and clinical data, as well as routine blood tests, were retrieved from the patient electronic medical records. RESULTS:Approximately 58% of patients had trochanteric fractures and 42% had cervical fractures. Women were more likely to have trochanteric fractures than men (P = 0.002). Female sex, frailty, falls, diabetes and subnormal calcium, as well as subnormal hemoglobin levels, were significant risk factors for trochanteric fractures (OR 1.39, P = 0.0202, OR 1.36, P = 0.0166, OR 1.49, P = 0.0015, OR 1.33, P = 0.0343, OR 0.68, P = 0.0054, OR 0.70, P = 0.0036, respectively). Patients with Parkinson's disease were at a lower risk for trochanteric fractures (OR 0.6, P = 0.007). CONCLUSION:As there are some differences between risk factors for trochanteric and cervical hip fractures, there is a need for further studies in order to understand the etiology of fractures and to be able to carry out effective preventive efforts.

journal_name

Geriatr Gerontol Int

authors

Tal S,Gurevich A,Sagiv S,Guller V

doi

10.1111/ggi.12294

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

443-8

issue

4

eissn

1444-1586

issn

1447-0594

journal_volume

15

pub_type

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