Predictors of hip fractures in elderly men

G. Poor, E. J. Atkinson, W. M. O'Fallon, L. J. Melton

Research output: Contribution to journalArticle

148 Citations (Scopus)

Abstract

To assess the influence on the risk of hip fractures in men of medical conditions associated with secondary osteoporosis or with an increased likelihood of falling, we conducted a population-based nested case-control study among the 232 Rochester, Minnesota, men with an initial hip fracture due to moderate trauma in 1965-1989 and an equal number of age-matched control men from the general population. Information on selected medical and surgical conditions and certain behavioral risk factors prior to fracture (or comparable index date for controls) was obtained from inpatient and outpatient medical records in the community that averaged over 36 years in duration. After adjusting for age, obesity, and inactivity, disorders linked with secondary osteoporosis were associated with a 2-fold increase in the risk of hip fracture in men (odds ratio [OR] 2.3; 95% confidence interval [CI] 1.3-4.3), while conditions linked with an increased risk of falling were associated with almost a 7-fold increase in risk (OR 6.9; 95% CI 3.3-14.8). These factors together appeared to account for about 72% of the hip fractures in men. Increased attention must be paid to these conditions which, in aggregate, are very common in elderly men and lead to a substantial increase in the risk of hip fracture with its devastating sequelae of death, disability, and cost.

Original languageEnglish (US)
Pages (from-to)1900-1907
Number of pages8
JournalJournal of Bone and Mineral Research
Volume10
Issue number12
StatePublished - 1995

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Hip Fractures
Accidental Falls
Odds Ratio
Osteoporosis
Confidence Intervals
Population
Medical Records
Case-Control Studies
Inpatients
Outpatients
Obesity
Costs and Cost Analysis
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

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Poor, G., Atkinson, E. J., O'Fallon, W. M., & Melton, L. J. (1995). Predictors of hip fractures in elderly men. Journal of Bone and Mineral Research, 10(12), 1900-1907.

Predictors of hip fractures in elderly men. / Poor, G.; Atkinson, E. J.; O'Fallon, W. M.; Melton, L. J.

In: Journal of Bone and Mineral Research, Vol. 10, No. 12, 1995, p. 1900-1907.

Research output: Contribution to journalArticle

Poor, G, Atkinson, EJ, O'Fallon, WM & Melton, LJ 1995, 'Predictors of hip fractures in elderly men', Journal of Bone and Mineral Research, vol. 10, no. 12, pp. 1900-1907.
Poor G, Atkinson EJ, O'Fallon WM, Melton LJ. Predictors of hip fractures in elderly men. Journal of Bone and Mineral Research. 1995;10(12):1900-1907.
Poor, G. ; Atkinson, E. J. ; O'Fallon, W. M. ; Melton, L. J. / Predictors of hip fractures in elderly men. In: Journal of Bone and Mineral Research. 1995 ; Vol. 10, No. 12. pp. 1900-1907.
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