Extraskeletal risk factors for fractures in older age


Authors: Jenšovský Jiří
Authors‘ workplace: Interní klinika 1. LF UK a ÚVN – Vojenská fakultní nemocnice Praha
Published in: Clinical Osteology 2019; 24(2): 82-85
Category:

Overview

From an economical point of view the neck of femur fractures in elderly patients represent the heaviest financial burden. These fractures are almost always connected to falls. As the life expectancy rises this type of fracture is becoming a major issue. It is necessary to evaluate the risk of falls regularly and in short intervals and pay special attention to recurring falls. Mnemonic questionnaires can be used for this purpose. In the same manner in which falls pose a risk for fractures, sarcopenia and its complications pose a risk for falls. Sarcopenia is now recognized as an independent unit with its own definition and classification code.

Keywords:

type 2 diabetes mellitus – Falls


Sources
  1. Cummings SR, Nevitt MC. Non-skeletal determinants of fractures: the potential importance of the mechanics of falls. Osteoporos Int 1994; 4(Suppl 1): S67-S70.
  2. Tinetti ME. Prevention of falls and fall injuries in elderly persons. Prev Med 1994; 23(5): 756–762. Dostupné z DOI: <http://dx.doi.org/10.1006/pmed.1994.1130>.
  3. [Centers for Disease Control and Prevention (CDC)]. Fatalities and injuries from falls among older adults – US, 1993–2003 and 2001–2005. MMWR Morb Mrtal Wkly Rep 2006; 55(45): 1221–1224. Erratum in MMWR Morb Mortal Wkly Rep 2006; 55(48): 1303.
  4. Pluijm SM, Smit JH,Tromp EA et al. A risk profile for identifying community – dwelling elderly with a high risk of recurrent falling. Osteoporos Int 2006; 17(3): 417–425. Dostupné z DOI: <http://dx.doi.org/10.1007/s00198–005–0002–0>.
  5. Buchner DM, Fornbrook MC, Kutner NG et al Development of the common data base for the FICSIT trials. J Am Geriatr Soc 1993; 41(3): 297–308. Dostupné z DOI: <http://dx.doi.org/10.1111/j.1532–5415.1993.tb06708.x>.
  6. Hannan MT, Gagnon MM, Aneja J et al Optimizing the tracking of falls in studies of older participants: comparison of quarterly telephone recall with monthly falls calendars in the MOBILIZE Boston Study. Am J Epidemiol 2010; 171(9): 1031–1036. Dostupné z DOI: <http://dx.doi.org/10.1093/aje/kwq024>.
  7. Vellas BJ, Wayne SJ, Romero LJ et al. Fear of falling and restriction of mobility in elderly fallers. Age Ageing 1997; 26(3): 189–193. Dostupné z DOI: <http://dx.doi.org/10.1093/ageing/26.3.189>.
  8. Arden NK, Crozier S, mith H et al. Knee pain, knee osteoarthritis and the risk of fracture. Arthritis Rheum 2006; 55(4): 610–615.
  9. Cruz-Jentoft AJ, Bahat G, Bauer J et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing 2019; 48(1): 16–31. Dostupné z DOI: <https://doi.org/10.1093/ageing/afy169>.
  10. Cao YJ, Mager DE, Simonsick EM et al. Physical and cognitive performance and burden of anticholinergics, sedatives and ACE inhibitors in older women. Clin Pharmacol Ther 2007; 83(3): 422–429. Dostupné z DOI: <http://dx.doi.org/10.1038/sj.clpt.6100303>.
  11. Huang AR, Mallet L, Rochefort CM et al Medication-related falls in the elderly: causative factors and preventive strategies. Drugs Aging 2012; 29(5): 359–276. Dostupné z DOI: <http://dx.doi.org/10.2165/11599460–000000000–00000>.
  12. Panneman MJM, Goettsch WG, Kramarz P et al. The cost of benzodiazepine-associated hospital-treated fall injuries in the EU: a Pharmo study. Drugs Aging 2003; 20(11): 833–839. Dostupné z DOI: <http://dx.doi.org/10.2165/00002512–200320110–00004>.
  13. Wang CY, FuSH, Wang CL et al. Serotonic antidepressant use and the risk of fracture: a population-based nested case-control study. Osteoporos Int 2016; 27(1): 57–63. Dostupné z DOI: <http://dx.doi.org/10.1007/s00198–015–3213-z>.
  14. Malmivaara A, Heliovaara M, Knekt P et al. Risk factors for injurious falls leading to hospitalization or death in a cohort of 19,500 adults. Am J Epidemiol 1993; 138(6): 384–394. Dostupné z DOI: <http://dx.doi.org/10.1093/oxfordjournals.aje.a116871>.
  15. Fuller GF. Falls in the elderly. Am Fam Physician 2000; 61: 2159–2168, 2173–2174.
  16. Close J, Ellis M, Hooper R et al. Prevention of falls in the elderly trial PROFET. Lancet 1999; 353(9147): 93–97. Dostupné z DOI: <http://dx.doi.org/10.1016/S0140–6736(98)06119–4>.
  17. Province MA, Hadley EC, Hornbrook MC et al. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA 1995; 273(17): 1341–1347.
  18. Bischoff-Ferrari HA, Dawson-Hughes B, Staehelin HB et al. Fall prevention with supplemental and active form of vitamin D. BMJ 2009; 339: b3692. Dostupné z DOI: <http://dx.doi.org/10.1136/bmj.b3692>.
  19. Bischoff-Ferrari HA, Dawson-Hughes B, Willett WC et al. Effect of vitamin D on falls. JAMA 2004; 291(16): 1999–2006. Dostupné z DOI: <http://dx.doi.org/10.1001/jama.291.16.1999>.
Labels
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account