Does a history of fractures predict subsequent hip and non-hip fractures among older people?
From: Journal Of The National Medical Association
- Ojo, F., Al Snih, S., Ray, L.A., Raji, M.A., Markides, K.S., 2007. History of fractures as predictor of subsequent hip and nonhip fractures among older Mexican Americans. J Natl Med Assoc 99, 412–418.
Data from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE) (1993-2001).
- At commencement 42 participants reported a hip fracture, 328 reported a non-hip fracture, and 2,219 did not report a fracture.
- The risk of a new hip fracture at seven-year follow-up was x6.48 for subjects with only hip fracture at commencement and x1.96 for subjects with a non-hip fracture at commencement.
- The risk of new non-hip fracture was x1.90 for subjects with only hip fracture at commencement and x2.62 for subjects with non-hip fracture at commencement.
- The authors conclude that a previous history of fractures in older Mexican Americans is the strongest predictor of recurrent fractures at hip and non-hip sites.
- Yes (with confidence)