Rapp, Kilian, Becker, Clemens, Lamb, S. E. (Sallie E.), Icks, Andrea and Klenk, Jochen. (2008) Hip fractures in institutionalized elderly people : incidence rates and excess mortality. Journal of Bone and Mineral Research, Vol.23 (No.11). pp. 1825-1831. ISSN 0884-0431

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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.

Item Type:	Journal Article
Subjects:	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, Pelvic bones -- Fractures -- Epidemiology , Pelvic bones -- Fractures -- Mortality
Journal or Publication Title:	Journal of Bone and Mineral Research
Publisher:	Wiley-Blackwell Publishing, Inc.
ISSN:	0884-0431
Date:	November 2008
Volume:	Vol.23
Number:	No.11
Number of Pages:	7
Page Range:	pp. 1825-1831
Identification Number:	10.1359/jbmr.080702
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Robert Bosch Stiftung [Robert Bosch Foundation]
URI:	http://wrap.warwick.ac.uk/id/eprint/29143

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