Dementia and Hip Fractures

Dementia and hip fractures are 2 conditions that are seen primarily in older adults, and both are associated with substantial morbidity and mortality. An individual with dementia is up to 3 times more likely than a cognitively intact older adult to sustain a hip fracture. This may occur via several...

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Main Authors: Susan M. Friedman MD, MPH, Isaura B. Menzies MD, MPH, Susan V. Bukata MD, Daniel A. Mendelson MS, MD, Stephen L. Kates MD
Format: Article
Language:English
Published: SAGE Publishing 2010-11-01
Series:Geriatric Orthopaedic Surgery & Rehabilitation
Online Access:https://doi.org/10.1177/2151458510389463
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author Susan M. Friedman MD, MPH
Isaura B. Menzies MD, MPH
Susan V. Bukata MD
Daniel A. Mendelson MS, MD
Stephen L. Kates MD
author_facet Susan M. Friedman MD, MPH
Isaura B. Menzies MD, MPH
Susan V. Bukata MD
Daniel A. Mendelson MS, MD
Stephen L. Kates MD
author_sort Susan M. Friedman MD, MPH
collection DOAJ
description Dementia and hip fractures are 2 conditions that are seen primarily in older adults, and both are associated with substantial morbidity and mortality. An individual with dementia is up to 3 times more likely than a cognitively intact older adult to sustain a hip fracture. This may occur via several mechanisms, including (1) risk factors that are common to both outcomes; (2) the presence of dementia increasing hip fracture incidence via intermediate risk factors, such as falls, osteoporosis, and vitamin D; and (3) treatment of dementia causing side effects that increase hip fracture risk. We describe a model that applies these 3 mechanisms to explain the relationship between dementia and hip fractures. Comprehensive understanding of these pathways and their relative influence on the outcome of hip fracture will guide the development of effective interventions and potentially improve prevention efforts.
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spelling doaj.art-9ef2ee32db5b4c3293632757def35b4d2022-12-21T19:15:51ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45852151-45932010-11-01110.1177/2151458510389463Dementia and Hip FracturesSusan M. Friedman MD, MPH0Isaura B. Menzies MD, MPH1Susan V. Bukata MD2Daniel A. Mendelson MS, MD3Stephen L. Kates MD4 University of Rochester School of Medicine and Dentistry, Rochester, NY, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USADementia and hip fractures are 2 conditions that are seen primarily in older adults, and both are associated with substantial morbidity and mortality. An individual with dementia is up to 3 times more likely than a cognitively intact older adult to sustain a hip fracture. This may occur via several mechanisms, including (1) risk factors that are common to both outcomes; (2) the presence of dementia increasing hip fracture incidence via intermediate risk factors, such as falls, osteoporosis, and vitamin D; and (3) treatment of dementia causing side effects that increase hip fracture risk. We describe a model that applies these 3 mechanisms to explain the relationship between dementia and hip fractures. Comprehensive understanding of these pathways and their relative influence on the outcome of hip fracture will guide the development of effective interventions and potentially improve prevention efforts.https://doi.org/10.1177/2151458510389463
spellingShingle Susan M. Friedman MD, MPH
Isaura B. Menzies MD, MPH
Susan V. Bukata MD
Daniel A. Mendelson MS, MD
Stephen L. Kates MD
Dementia and Hip Fractures
Geriatric Orthopaedic Surgery & Rehabilitation
title Dementia and Hip Fractures
title_full Dementia and Hip Fractures
title_fullStr Dementia and Hip Fractures
title_full_unstemmed Dementia and Hip Fractures
title_short Dementia and Hip Fractures
title_sort dementia and hip fractures
url https://doi.org/10.1177/2151458510389463
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