Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year Study
Background and aims: It has been previously suggested that the incidence of hip fracture is higher among people living in nursing homes than among community-dwelling people. However, it is not clear whether this is a consequence of nursing home residency or of the greater age of the residents. We ha...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2013-09-01
|
| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959812001561 |
| _version_ | 1818332986410532864 |
|---|---|
| author | Olivier Bruyère Mickaël Hiligsmann Brigitte Zegels Audrey Neuprez Jean-Yves Reginster |
| author_facet | Olivier Bruyère Mickaël Hiligsmann Brigitte Zegels Audrey Neuprez Jean-Yves Reginster |
| author_sort | Olivier Bruyère |
| collection | DOAJ |
| description | Background and aims: It has been previously suggested that the incidence of hip fracture is higher among people living in nursing homes than among community-dwelling people. However, it is not clear whether this is a consequence of nursing home residency or of the greater age of the residents. We have examined the relationship between the place of residence and hip fracture incidence, in a prospective 3-year study.
Methods: Women from nine countries included in this study were part of the placebo group of a randomized controlled trial having assessed the long-term effect of a new antiosteoporotic drug. All women were osteoporotic and received placebo and vitamin D during the 3 years of follow-up. All the institutionalized (nursing home, medical house) women (n = 217) were included in this post hoc analysis and three noninstitutionalized age- and country-matched controls were included (n = 651).
Results: The mean (and standard deviation) age of the patients was 80.4 (5.6) years in the institutionalized women and 80.2 (5.8) years in the noninstitutionalized women (p = 0.87). After 3 years of follow-up, 37 fractures occurred: 12 (5.5%) in institutionalized women and 25 (3.8%) in noninstitutionalized women. The difference between the two groups was not statistically significant (p = 0.29). After controlling for age, body mass index, femoral neck bone mineral density and prevalent nonvertebral fracture, the residence status of the patient (institutionalized vs. noninstitutionalized) was not significantly associated with hip fracture incidence (p = 0.63).
Conclusion: We suggest that living in an institutionalized place is not an independent risk factor for hip fracture for osteoporotic women receiving calcium and vitamin D. |
| first_indexed | 2024-12-13T13:44:27Z |
| format | Article |
| id | doaj.art-2efa39c5801144f6a76c71f16dfdd656 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-12-13T13:44:27Z |
| publishDate | 2013-09-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-2efa39c5801144f6a76c71f16dfdd6562022-12-21T23:43:29ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982013-09-017316717010.1016/j.ijge.2012.11.015Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year StudyOlivier BruyèreMickaël HiligsmannBrigitte ZegelsAudrey NeuprezJean-Yves ReginsterBackground and aims: It has been previously suggested that the incidence of hip fracture is higher among people living in nursing homes than among community-dwelling people. However, it is not clear whether this is a consequence of nursing home residency or of the greater age of the residents. We have examined the relationship between the place of residence and hip fracture incidence, in a prospective 3-year study. Methods: Women from nine countries included in this study were part of the placebo group of a randomized controlled trial having assessed the long-term effect of a new antiosteoporotic drug. All women were osteoporotic and received placebo and vitamin D during the 3 years of follow-up. All the institutionalized (nursing home, medical house) women (n = 217) were included in this post hoc analysis and three noninstitutionalized age- and country-matched controls were included (n = 651). Results: The mean (and standard deviation) age of the patients was 80.4 (5.6) years in the institutionalized women and 80.2 (5.8) years in the noninstitutionalized women (p = 0.87). After 3 years of follow-up, 37 fractures occurred: 12 (5.5%) in institutionalized women and 25 (3.8%) in noninstitutionalized women. The difference between the two groups was not statistically significant (p = 0.29). After controlling for age, body mass index, femoral neck bone mineral density and prevalent nonvertebral fracture, the residence status of the patient (institutionalized vs. noninstitutionalized) was not significantly associated with hip fracture incidence (p = 0.63). Conclusion: We suggest that living in an institutionalized place is not an independent risk factor for hip fracture for osteoporotic women receiving calcium and vitamin D.http://www.sciencedirect.com/science/article/pii/S1873959812001561bone mineral densityfracturenursing homeosteoporosisvitamin D |
| spellingShingle | Olivier Bruyère Mickaël Hiligsmann Brigitte Zegels Audrey Neuprez Jean-Yves Reginster Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year Study International Journal of Gerontology bone mineral density fracture nursing home osteoporosis vitamin D |
| title | Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year Study |
| title_full | Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year Study |
| title_fullStr | Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year Study |
| title_full_unstemmed | Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year Study |
| title_short | Risk of Hip Fracture in Community-dwelling and Institutionalized Osteoporotic Patients: A 3-year Study |
| title_sort | risk of hip fracture in community dwelling and institutionalized osteoporotic patients a 3 year study |
| topic | bone mineral density fracture nursing home osteoporosis vitamin D |
| url | http://www.sciencedirect.com/science/article/pii/S1873959812001561 |
| work_keys_str_mv | AT olivierbruyere riskofhipfractureincommunitydwellingandinstitutionalizedosteoporoticpatientsa3yearstudy AT mickaelhiligsmann riskofhipfractureincommunitydwellingandinstitutionalizedosteoporoticpatientsa3yearstudy AT brigittezegels riskofhipfractureincommunitydwellingandinstitutionalizedosteoporoticpatientsa3yearstudy AT audreyneuprez riskofhipfractureincommunitydwellingandinstitutionalizedosteoporoticpatientsa3yearstudy AT jeanyvesreginster riskofhipfractureincommunitydwellingandinstitutionalizedosteoporoticpatientsa3yearstudy |