ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2009
Risk factors for hip fracture in older home care clients.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Gender differences between smoking and the risk of hip fracture.Journal of bone and mineral metabolism · 2024Pooled it
- Smoking and fracture risk in men: a meta-analysis of cohort studies, using both frequentist and Bayesian approaches.Scientific reports · 2022Pooled it
- Effect of Cigarette Smoking on Risk of Hip Fracture in Men: A Meta-Analysis of 14 Prospective Cohort Studies.PloS one · 2016Pooled it
- Obesity and risk of hip fracture in adults: a meta-analysis of prospective cohort studies.PloS one · 2013Pooled it
- Beyond bone density: toward an integrated bone- muscle-function framework for fragility fracture prevention.Frontiers in medicine · 2026Article
- What contributes to a decline in cognitive performance among home care clients? Analysis of interRAI data from across Canada.BMC geriatrics · 2024Article
- Hip Fractures in Centenarians: Functional Outcomes, Mortality, and Risk Factors from a Multicenter Cohort Study.Clinics in orthopedic surgery · 2023Observational
- Association Between Sleep Quality and Falls: A Nationwide Population-Based Study from South Korea.International journal of general medicine · 2021Article
- Development and validation of the fracture risk scale home care (FRS-HC) that predicts one-year incident fracture: an electronic record-linked longitudinal cohort study.BMC musculoskeletal disorders · 2020Article
- [Osteoporosis and multimorbidity].Zeitschrift fur Gerontologie und Geriatrie · 2019Review
- Risk factors for hip fracture in New Zealand older adults seeking home care services: a national population cross-sectional study.BMC geriatrics · 2019Article
- Predictive value of the mini-nutritional assessment short form (MNA-SF) and nutritional risk screening (NRS2002) in hip fracture.European journal of clinical nutrition · 2019Article
- Fracture risk assessment in home care patients using the FRAX® tool.Einstein (Sao Paulo, Brazil) · 2018Observational
- Current and former smokers and hip fractures.Journal of frailty, sarcopenia and falls · 2018Review
- Article
- Falls prevention in community care: 10 years on.Clinical interventions in aging · 2018Article
- Association of nutritional status as measured by the Mini-Nutritional Assessment Short Form with changes in mobility, institutionalization and death after hip fracture.European journal of clinical nutrition · 2016Article
- Risk factors for hip impact during real-life falls captured on video in long-term care.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Article
- Using an accumulation of deficits approach to measure frailty in a population of home care users with intellectual and developmental disabilities: an analytical descriptive study.BMC geriatrics · 2015Article
- Neuropsychological mechanisms of falls in older adults.Frontiers in aging neuroscience · 2014Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle information is available on hip fracture risks among community-dwelling persons receiving home care. Our aim was to identify risk factors for hip fracture from health information routinely collected for older home care clients.
methodsThis was a cohort study involving secondary analysis of data on 40,279 long-stay (>60 days) home care clients aged 65 and older in Ontario, Canada; occurrence of hip fracture as well as potential risk factor information were measured using the Resident Assessment Instrument (RAI)/Minimum Data Set-Home Care assessment instrument.
resultsIn all, 1,003 clients (2.5%) had hip fracture on follow-up assessment. Older (85+ vs 65-74, relative risk [95% confidence interval]: 0.52 [0.43-0.64]) clients are at increased risk; males are at reduced risk [0.60 (0.51-0.70)]. Other risk factors include osteoporosis (1.19 [1.03-1.36]), falls (1.31 [1.15-1.49]), unsteady gait (1.18 [1.03-1.36]), use of ambulation aide (1.39 [1.21-1.59]), tobacco use (1.42, [1.13-1.80]), severe malnutrition (2.61 [1.67-4.08]), and cognitive impairment (1.30 [1.12-1.51]). Arthritis (0.86 [0.76-0.98]) and morbid obesity (0.34 [0.16-0.72]) were associated with reduced risk. Males and females demonstrated different risk profiles.
conclusionsImportant risk factors for hip fracture can be identified from routinely collected data; these could be used to identify at-risk clients for further investigation and prevention strategies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.