Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality

Rapp K, Becker C, Lamb SE, Icks A, Klenk J (2008)
JOURNAL OF BONE AND MINERAL RESEARCH 23(11): 1825-1831.

Journal Article | Published | English

No fulltext has been uploaded

Author
; ; ; ;
Abstract
It is assumed that nursing homes are the setting with the highest incidence of hip fractures. This observation is. however. based on very little data. The aim of this study was to analyze hip fracture rates and the associated excess mortality in a large nursing home population. A cohort of >69,000 women and men newly admitted to German nursing homes were used to calculate sex- and agge-specific incidence rates of hip fractures. To calculate excess mortality, a retrospective cohort study was conducted. To each patient with a hip) fracture (n = 4342). four residents without hip fracture (n = 17,368) were matched by sex, age. and level of care (measure for the need of care). Hazard regression models were applied. During 91,850 person-years, 4342 hip fractures were observed. The crude incidence rates for hip fractures were 50.8/1000 person-years fit women and 32.7/1000 person-years in men. The incidence rates increased with increasing, age categories were an highest in the first months after admission to file nursing home. Increasing care need reduced the risk of lilt) fracture. Mortality in patients with it hip fracture was increased (women: hazard rate ratio for the first 3 mo after fracture. 1.72: 95% CI, 1.59-1.86: men: hazard ratio, 2.14: 95% CI, 1.80-2.53). but excess mortality Was limited to the first months after injury. Data are presented for hip fracture rates and excess mortality after a hip fracture. Our results have implications oil the timing and the allocation of specific measures for hip fracture prevention.
Publishing Year
ISSN
PUB-ID

Cite this

Rapp K, Becker C, Lamb SE, Icks A, Klenk J. Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality. JOURNAL OF BONE AND MINERAL RESEARCH. 2008;23(11):1825-1831.
Rapp, K., Becker, C., Lamb, S. E., Icks, A., & Klenk, J. (2008). Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality. JOURNAL OF BONE AND MINERAL RESEARCH, 23(11), 1825-1831.
Rapp, K., Becker, C., Lamb, S. E., Icks, A., and Klenk, J. (2008). Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality. JOURNAL OF BONE AND MINERAL RESEARCH 23, 1825-1831.
Rapp, K., et al., 2008. Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality. JOURNAL OF BONE AND MINERAL RESEARCH, 23(11), p 1825-1831.
K. Rapp, et al., “Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality”, JOURNAL OF BONE AND MINERAL RESEARCH, vol. 23, 2008, pp. 1825-1831.
Rapp, K., Becker, C., Lamb, S.E., Icks, A., Klenk, J.: Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality. JOURNAL OF BONE AND MINERAL RESEARCH. 23, 1825-1831 (2008).
Rapp, Kilian, Becker, Clemens, Lamb, Sarah E., Icks, Andrea, and Klenk, Jochen. “Hip Fractures in Institutionalized Elderly People: Incidence Rates and Excess Mortality”. JOURNAL OF BONE AND MINERAL RESEARCH 23.11 (2008): 1825-1831.
This data publication is cited in the following publications:
This publication cites the following data publications:

37 Citations in Europe PMC

Data provided by Europe PubMed Central.

The Epidemiology of Hip and Major Osteoporotic Fractures in a Dutch Population of Community-Dwelling Elderly: Implications for the Dutch FRAX® Algorithm.
Klop C, Welsing PM, Leufkens HG, Elders PJ, Overbeek JA, van den Bergh JP, Bijlsma JW, de Vries F., PLoS ONE 10(12), 2015
PMID: 26633011
Risk of hip fracture among older people using antihypertensive drugs: a nationwide cohort study.
Ruths S, Bakken MS, Ranhoff AH, Hunskaar S, Engesæter LB, Engeland A., BMC Geriatr 15(), 2015
PMID: 26626043
Characteristics and effectiveness of fall prevention programs in nursing homes: a systematic review and meta-analysis of randomized controlled trials.
Vlaeyen E, Coussement J, Leysens G, Van der Elst E, Delbaere K, Cambier D, Denhaerynck K, Goemaere S, Wertelaers A, Dobbels F, Dejaeger E, Milisen K; Center of Expertise for Fall and Fracture Prevention Flanders., J Am Geriatr Soc 63(2), 2015
PMID: 25641225
Cost-effectiveness of a multifactorial fracture prevention program for elderly people admitted to nursing homes.
Muller D, Borsi L, Stracke C, Stock S, Stollenwerk B., Eur J Health Econ 16(5), 2015
PMID: 24818587
Mortality after hip fracture in Austria 2008-2011.
Brozek W, Reichardt B, Kimberger O, Zwerina J, Dimai HP, Kritsch D, Klaushofer K, Zwettler E., Calcif. Tissue Int. 95(3), 2014
PMID: 24989776
Bone marrow stem cells added to a hydroxyapatite scaffold result in better outcomes after surgical treatment of intertrochanteric hip fractures.
Torres J, Gutierres M, Lopes MA, Santos JD, Cabral AT, Pinto R, van Eck C., Biomed Res Int 2014(), 2014
PMID: 24955356
Femoral fracture rates after discharge from the hospital to the community.
Rapp K, Cameron ID, Becker C, Kleiner A, Eckardt M, Konig HH, Klenk J., J. Bone Miner. Res. 28(4), 2013
PMID: 23129478
Risk assessment after hip fracture: check the "healthy" leg!
Pils K, Meisner W, Haas W, Ebenbichler G, Herrmann F., Z Gerontol Geriatr 44(6), 2011
PMID: 22159831
Hip fractures in long-term care: is the excess explained by the age and gender distribution of the residents?
Crilly RG, Tanner DA, Kloseck M, Chesworth BM., J Aging Res 2010(), 2010
PMID: 21152198
[Health and old age: taking stock from the perspective of health reporting].
Sass AC, Wurm S, Scheidt-Nave C., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 53(5), 2010
PMID: 20437022
Excess mortality after pelvic fractures in institutionalized older people.
Rapp K, Cameron ID, Kurrle S, Klenk J, Kleiner A, Heinrich S, Konig HH, Becker C., Osteoporos Int 21(11), 2010
PMID: 20057998

38 References

Data provided by Europe PubMed Central.

Place of residence and risk of fracture in older people: a population-based study of over 65-year-olds in Cardiff.
Brennan nee Saunders J, Johansen A, Butler J, Stone M, Richmond P, Jones S, Lyons RA., Osteoporos Int 14(6), 2003
PMID: 12730755
Effect of hip fracture on mortality in elderly women: the EPIDOS prospective study.
Empana JP, Dargent-Molina P, Breart G; EPIDOS Group., J Am Geriatr Soc 52(5), 2004
PMID: 15086646
Epidemiology of hip fractures in 2002 in Rabat, Morocco.
El Maghraoui A, Koumba BA, Jroundi I, Achemlal L, Bezza A, Tazi MA., Osteoporos Int 16(6), 2005
PMID: 15452688
The variable incidence of hip fracture in southern Europe: the MEDOS Study.
Elffors I, Allander E, Kanis JA, Gullberg B, Johnell O, Dequeker J, Dilsen G, Gennari C, Lopes Vaz AA, Lyritis G., Osteoporos Int 4(5), 1994
PMID: 7812073
International comparison of hip fracture rates in 1988-89.
Bacon WE, Maggi S, Looker A, Harris T, Nair CR, Giaconi J, Honkanen R, Ho SC, Peffers KA, Torring O, Gass R, Gonzalez N., Osteoporos Int 6(1), 1996
PMID: 8845603
The apparent incidence of hip fracture in Europe: a study of national register sources.
Johnell O, Gullberg B, Allander E, Kanis JA; MEDOS Study Group., Osteoporos Int 2(6), 1992
PMID: 1421798
The incidence of hip fractures in independent and institutionalized elderly people.
Ooms ME, Vlasman P, Lips P, Nauta J, Bouter LM, Valkenburg HA., Osteoporos Int 4(1), 1994
PMID: 8148574
International variations in hip fracture probabilities: implications for risk assessment.
Kanis JA, Johnell O, De Laet C, Jonsson B, Oden A, Ogelsby AK., J. Bone Miner. Res. 17(7), 2002
PMID: 12096837
Incidence of hip and other osteoporotic fractures in elderly men and women: Dubbo Osteoporosis Epidemiology Study.
Chang KP, Center JR, Nguyen TV, Eisman JA., J. Bone Miner. Res. 19(4), 2004
PMID: 15005838
Adjusted mortality after hip fracture: From the cardiovascular health study.
Robbins JA, Biggs ML, Cauley J., J Am Geriatr Soc 54(12), 2006
PMID: 17198494
The risks of hip fracture in older people from private homes and institutions.
Butler M, Norton R, Lee-Joe T, Cheng A, Campbell AJ., Age Ageing 25(5), 1996
PMID: 8921144
Trend of hip fracture incidence in Germany 1995-2004: a population-based study.
Icks A, Haastert B, Wildner M, Becker C, Meyer G., Osteoporos Int 19(8), 2008
PMID: 18087659

Export

0 Marked Publications

Open Data PUB

Web of Science

View record in Web of Science®

Sources

PMID: 18665785
PubMed | Europe PMC

Search this title in

Google Scholar