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Fractures after nursing home admission : incidence and potential consequences
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Rapp, Kilian, Lamb, S. E. (Sallie E.), Klenk, Jochen, Kleiner, A., Heinrich, S., Koenig, H.-H., Nikolaus, T. and Becker, Clemens. (2009) Fractures after nursing home admission : incidence and potential consequences. Osteoporosis International, Vol.20 (No.10). pp. 1775-1783. ISSN 0937-941X
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Official URL: http://dx.doi.org/10.1007/s00198-009-0852-y
Abstract
Fracture rates were examined in residents newly admitted to nursing homes. The risk of a fracture was highest during the first months after admission and declined thereafter. This risk pattern was observed independently of fracture site, gender or degree of care need. Residents of nursing homes are a high-risk group for fractures. The aim of the study was to analyse fracture rates as a function of time from admission to nursing home. Fractures of the upper limb, femur, pelvis and lower leg, time to first and subsequent fractures, age, gender and care needs at admission were measured in 93,424 women and men aged 65 years and over and newly admitted to nursing homes in Bavaria between 2001 and 2006. Fracture incidence was highest during the first months after admission to nursing homes and declined thereafter. This pattern was observed for all fracture sites, in women and men and in residents with different care needs. For example, fracture rates of the upper limb declined from 30.0 to 13.5/1,000 person-years in the first 9 months after admission and for all fracture sites from 135.3 to 69.4/1,000 person-years in a corresponding time period. Newly admitted residents have the highest fracture risk. The pattern of risk is similar across all fractures, suggesting a generic causal pathway. Implementation of effective fracture prevention efforts should be a priority at the time of admission to nursing homes.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Fractures in old age, Nursing homes -- Accidents -- Germany -- Statistics, Falls (Accidents) in old age |
| Journal or Publication Title: | Osteoporosis International |
| Publisher: | Springer London Ltd |
| ISSN: | 0937-941X |
| Date: | October 2009 |
| Volume: | Vol.20 |
| Number: | No.10 |
| Number of Pages: | 9 |
| Page Range: | pp. 1775-1783 |
| Identification Number: | 10.1007/s00198-009-0852-y |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Funder: | Robert Bosch Stiftung [Robert Bosch Foundation], Bundesministerium für Bildung und Forschung (BMBF) |
| Grant number: | 01EL0702, 01EL0717, 01EL0718 (BMBF) |
| URI: | http://wrap.warwick.ac.uk/id/eprint/17286 |
Data sourced from Thomson Reuters' Web of Knowledge
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