Risk factors for second hip fractures in elderly patients
Hip fractures lead to functional deterioration, limited mobility and increased morbidity, especially at the first year post operation.
Furthermore, among the survivors of a first hip fracture, the age standardized risk of a second hip fracture (SHF) was 2.5 times higher in women and 4.6 times higher in men compared to the risk of a first hip fracture. And worse still, patients had a greater mortality and more decreased dependence in their daily activities after SHF. About 31.6% died at the first year after the operation, 78.3% would have to survive with the aid of walking tools, and most would never recover to their pre-operative level. Therefore, it is vital to identify risk factors to prevent the occurrence of SHF in those sustaining initial hip fractures.
In summary, the present meta-analysis suggests that females, living in institutions, osteoporosis (SI 1–3), low vision, dementia, Parkinson, respiration diseases and cardiac diseases were significant risk factors for SHF. Furthermore, cardiac disease as the significantly increased risk for SHF was firstly reported and related prevention strategies should be formulated. > From: Zhu , Arch Gerontol Geriatr 59 (2014) 1-6. All rights reserved to Elsevier Ireland Ltd.. Click here for the Pubmed summary.
Watch an interesting video on the influence of depression on recovery after a hip fracture in older adults: