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...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2010-11-01
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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. |
first_indexed | 2024-12-21T04:35:13Z |
format | Article |
id | doaj.art-9ef2ee32db5b4c3293632757def35b4d |
institution | Directory Open Access Journal |
issn | 2151-4585 2151-4593 |
language | English |
last_indexed | 2024-12-21T04:35:13Z |
publishDate | 2010-11-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Geriatric Orthopaedic Surgery & Rehabilitation |
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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