Does a history of fractures predict subsequent hip and non-hip fractures among older people?

From: Journal Of The National Medical Association

Journal rating:
rating: 76%
Study Quality:
rating: 55%
%

Overall Reliability

Article Quality:
rating: 35%
Partcipants
rating: 50%

Participants/situation

  • 2,589

Study

  • Data from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE) (1993-2001).

Results

  • 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.

Answer

  • Yes (with confidence)

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