Citation

Rapp K, Becker C, Lamb SE, Icks A, Klenk J. J. Bone Miner. Res. 2008; 23(11): 1825-1831.

Copyright

(Copyright © 2008, American Society for Bone and Mineral Research)

DOI

10.1359/jbmr.080702

PMID

18665785

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 analyse hip fracture rates and the associated excess mortality in a large nursing home population. A cohort of more than 69,000 women and men newly admitted to German nursing homes were used to calculate sex- and age-specific incidence rates of hip fractures. To calculate excess mortality a retrospective cohort study was conducted. To each patient with a hip fracture (n=4,342) 4 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 4,342 hip fractures were observed. The crude incidence rates for hip fractures were 50.8/1,000 person-years in women and 32.7/1,000 person-years in men. The incidence rates increased with increasing age-categories and were highest in the first months after admission to the nursing home. Increasing care need reduced the risk of hip fracture. Mortality in patients with a hip fracture was increased (hazard rate ratio for the first 3 months after fracture 1.72; 95% CI, 1.59-1.86 for women and 2.14; 95% CI, 1.80-2.53 for men) but excess mortality was limited to the first months after injury. Data are presented for hip fracture rates and excess mortality following a hip fracture. Our results have implications on the timing and the allocation of specific measures for hip fracture prevention.

Language: en