ArticleBMJ open2017
Development and validation of the Fracture Risk Scale (FRS) that predicts fracture over a 1-year time period in institutionalised frail older people living in Canada: an electronic record-linked longitudinal cohort study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictive value of machine learning on fracture risk in osteoporosis: a systematic review and meta-analysis.BMJ open · 2023Pooled it
- Article
- Equipping pharmacists to improve osteoporosis management for aged care residents: a pilot study.Journal of pharmaceutical policy and practice · 2026Article
- Hip fracture rate and osteoporosis treatment in Ontario: A population-based retrospective cohort study.Archives of osteoporosis · 2024Article
- Osteoporosis management in Australian aged care facilities: a mixed method study.Archives of osteoporosis · 2024Article
- Prescriber Perspectives and Experiences with Deprescribing Versus Continuing Bisphosphonates in Older Nursing Home Residents with Dementia.Journal of general internal medicine · 2023Article
- Advantages and Disadvantages of Random Forest Models for Prediction of Hip Fracture Risk Versus Mortality Risk in the Oldest Old.JBMR plus · 2023Article
- Perceptions and practices of aged care pharmacists regarding osteoporosis management: a qualitative study.International journal of clinical pharmacy · 2023Article
- Controversies in Osteoporosis Treatment of Nursing Home Residents.Journal of the American Medical Directors Association · 2022Review
- Factors Associated with Falls in Canadian Long Term Care Homes: a Retrospective Cohort Study.Canadian geriatrics journal : CGJ · 2022Article
- Article
- Strategies for the implementation of an electronic fracture risk assessment tool in long term care: a qualitative study.BMC geriatrics · 2021Article
- Short time horizons for fracture prediction tools: time for a rethink.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- Compilation and Analysis of Web-Based Orthopedic Personalized Predictive Tools: A Scoping Review.Journal of personalized medicine · 2020Article
- 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
- Validation of a one year fracture prediction tool for absolute hip fracture risk in long term care residents.BMC geriatrics · 2018Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo develop and validate our Fracture Risk Scale (FRS) over a 1-year time period, using the long-term care (LTC) Resident Assessment Instrument Minimum Data Set Version 2.0 (RAI-MDS 2.0).
designA retrospective cohort study.
settingLTC homes in Ontario, Canada.
participantsOlder adults who were admitted to LTC and received a RAI-MDS 2.0 admission assessment between 2006 and 2010.
resultsA total of 29 848 LTC residents were enrolled in the study. Of these 22 386 were included in the derivation dataset and 7462 individual were included in the validation dataset. Approximately 2/3 of the entire sample were women and 45% were 85 years of age or older. A total of 1553 (5.2%) fractures were reported over the 1-year time period. Of these, 959 (61.8%) were hip fractures. Following a hip fracture, 6.3% of individuals died in the emergency department or as an inpatient admission and did not return to their LTC home. Using decision tree analysis, our final outcome scale had eight risk levels of differentiation. The percentage of individuals with a hip fracture ranged from 0.6% (lowest risk level) to 12.6% (highest risk level). The area under the curve of the outcome scale was similar for the derivation (0.67) and validation (0.69) samples, and the scale exhibited a good level of consistency.
conclusionsOur FRS predicts hip fracture over a 1-year time period and should be used as an aid to support clinical decisions in the care planning of LTC residents. Future research should focus on the transformation of our scale to a Clinical Assessment Protocol and to assess the FRS in other healthcare settings.
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