Navigation Links
Hip and back fractures increase mortality rates in people older than 50
Date:8/4/2009

Vertebral and hip fractures are associated with an increased risk of death, found a new study of 7753 people in Canada aged 50 years and older published in CMAJ (Canadian Medical Association Journal) http://www.cmaj.ca/press/cmaj081720.pdf (www.cmaj.ca). According to the results, approximately 25% of people (both men and women) living in the community who develop a hip fracture and 16% who develop a spine fracture will die over a 5 year period.

The 5 year study, part of the Canadian Multicentre Osteoporosis Study, consisted of 2187 men and 5566 women from across Canada. It differs from other previous studies in that the study group is representative of the general population and participants were recruited through telephone lists by postal code areas. Previous studies have included only women, participants from specific geographic areas, patients with osteoporosis or have looked at only one type of fracture.

Fractures are associated with negative outcomes such as pain, immobility and reduced health-related quality of life.

All types of fractures were more common in women than men except for rib fractures. Other factors affecting mortality including smoking status, physical activity, and comorbidity of other diseases.

"Hip fractures may have long-lasting effects that result in eventual death by signalling or actually inducing a progressive decline in health," write Dr. George Ioannidis and coauthors. "Our results also showed that vertebral fracture was an independent predictor of death."

The authors conclude that interventions must be introduced to reduce the likelihood of fractures, such as osteoporosis medications, fall prevention strategies, hip protectors and enhanced rehabilitation after fracture to improve mobility and strength.

In a related commentary http://www.cmaj.ca/press/cmaj091212.pdf, Dr. Karim Khan and Dr. Maureen Ashe write that cognitive impairment and dementia are major risk factors for fall-related fractures but patients with these conditions are usually difficult to recruit and thus under-represented in cohort studies. "If this was the case in this Canadian cohort (and it most likely was), the mortality data may contain "healthy volunteer bias" and the population mortality rates may be even higher than reported by Ioannidis and colleagues." They conclude that post-fracture care could be improved for this condition that kills at least 25% of people with fractures from falls within 12 months.

Dr. Khan and Dr. Ashe are with the Centre for Hip Health and Mobility at Vancouver General Hospital and the University of British Columbia.


'/>"/>

Contact: Kim Barnhardt
kim.barnhardt@cmaj.ca
613-520-7116 x2224
Canadian Medical Association Journal
Source:Eurekalert

Related medicine news :

1. American Academy of Orthopaedic Surgeons approves new guideline for the treatment of pediatric diaphyseal femur fractures
2. American Academy of Orthopaedic Surgeons Approves New Guideline for the Treatment of Pediatric Diaphyseal Femur Fractures
3. Might Weight-Loss Surgery Lead to Fractures?
4. Avandia Raises Risk of Heart Failure, Fractures
5. Prostate cancer therapy increases risk of fractures and cardiovascular-related death
6. In Elderly Women, Hip Fractures Often Follow Arm Breaks
7. Arm Fractures Indicate Greater Risk of Hip Fractures in Elderly Patients
8. Fractures in Older Adults Up Death Risk
9. Two common diabetes drugs double the risk of fractures in women
10. Popular class of diabetes drugs doubles risk of fractures in women
11. Healthy bones program reduces hip fractures by 37 percent
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2016)... ... April 29, 2016 , ... Reltok Nasal Products proudly announces ... the head and neck/ear, nose and throat specialty, has added the KOTLER NASAL AIRWAY™ ... NASAL AIRWAY™ is a newly patented safety device secured by nasal surgeons onto ...
(Date:4/29/2016)... ... April 29, 2016 , ... Jvion, the ... of funding led by Eastside Partners, with participation from existing investor Martin Ventures. ... base and accelerate its technology and product roadmap. , “Jvion is ...
(Date:4/29/2016)... ... April 29, 2016 , ... Regenerative Medicine Solutions (RMS) scored ... satisfaction survey, earning them second place for Tampa’s Best Places to Work. They were ... “This is a great accomplishment for our team,” says RMS Human Resources Manager Irene ...
(Date:4/29/2016)... Newport Beach, CA (PRWEB) , ... April 29, 2016 , ... ... Dr. Jane L. Frederick, Dr. Sanaz Ghazal, and Dr. Daniel A. Potter -- are ... the Society for Assisted Reproductive Technology (SART). In April, SART published the ...
(Date:4/29/2016)... , ... April 29, 2016 , ... ... to promote their animal line of probiotics, Petbiotics ™, as they fondly ... turnout of animal rescue groups networking for their non-profit organizations. Animal rescues across ...
Breaking Medicine News(10 mins):
(Date:4/29/2016)... India , April 29, 2016 ... the life science laboratory due to the growing demands ... by advance technology, contemporary automated systems are already adept ... performed by slow, tedious and manual labor. Instrumentation continues ... were not even conceivable just a few years ago. ...
(Date:4/28/2016)... , April 28, 2016  While Abbott,s ... complement the company,s valve repair and stent business, ... also places Abbott more firmly into patient monitoring.  ... the fastest growing device areas, with double-digit growth ... recent report,  Advanced Remote Patient Monitoring ...
(Date:4/28/2016)... 28, 2016  Marking its one year anniversary ... ovarian cancer risk test, Color Genomics ... that highly impact the most common hereditary cancers ... Color Test analyzes hereditary cancer risks for breast, ... cancers. The Color Test is physician ordered and ...
Breaking Medicine Technology: