Original Article
J Korean Hip Soc 2008; 20(3): 197-202
Published online September 1, 2008
© The Korean Hip Society
70세 이상 고령의 고관절부 주위 골절 발생의 위험인자
고덕환∙김형준∙김응식∙김동헌
건국대학교 의과대학 충주병원 정형외과학교실
Risk Factors Predicting Hip Fractures in Patients Over 70 Years Old
Correspondence to : 김동헌
충청북도 충주시 교현동 620-5 건국대학교 의과대학 정형외과학교실
TEL: 82-43-840-8251
FAX: 82-43-844-7300
E-mail: kdkim@kku.ac.kr
Purpose: We conducted a retrospective case-control study to evaluate the factors predictive of hip fractures in elderly patients.
Materials and Methods: We studied 172 patients age 70 years or older who sustained hip fractures with minor injuries between January 2002 and January 2007. We analyzed bone mineral density, comorbidities, body mass index, and the activities of daily living (ADL) scale. One hundred eighty patients (control subjects) with no history of fracture were matched to the study subjects with respect to age and sex.
Results: Multivariate logistic regression showed that female sex, low bone mineral density, high ADL scale, cerebral vascular attack, and knee osteoarthritis were associated with an increased incidence of hip fracture.
Conclusion: Female sex, low bone mineral density, and high ADL scale were related to hip fractures in the elderly. Knee osteoarthritis should be regarded as an independent risk factor for fractures because of an increased risk of falling.
Keywords Hip fracture, Elderly patients, Risk factors
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Original Article
J Korean Hip Soc 2008; 20(3): 197-202
Published online September 1, 2008 https://doi.org/10.5371/jkhs.2008.20.3.197
Copyright © The Korean Hip Society.
70세 이상 고령의 고관절부 주위 골절 발생의 위험인자
고덕환∙김형준∙김응식∙김동헌
건국대학교 의과대학 충주병원 정형외과학교실
Risk Factors Predicting Hip Fractures in Patients Over 70 Years Old
Duk-Hwan Kho, M.D., Hyeung-June Kim, M.D., Eung-Sik Kim, M.D., Dong-Heon Kim, M.D.
Department of Orthopedic Surgery, College of Medicine, Konkuk University, Chungju, Korea
Correspondence to:김동헌
충청북도 충주시 교현동 620-5 건국대학교 의과대학 정형외과학교실
TEL: 82-43-840-8251
FAX: 82-43-844-7300
E-mail: kdkim@kku.ac.kr
Abstract
Purpose: We conducted a retrospective case-control study to evaluate the factors predictive of hip fractures in elderly patients.
Materials and Methods: We studied 172 patients age 70 years or older who sustained hip fractures with minor injuries between January 2002 and January 2007. We analyzed bone mineral density, comorbidities, body mass index, and the activities of daily living (ADL) scale. One hundred eighty patients (control subjects) with no history of fracture were matched to the study subjects with respect to age and sex.
Results: Multivariate logistic regression showed that female sex, low bone mineral density, high ADL scale, cerebral vascular attack, and knee osteoarthritis were associated with an increased incidence of hip fracture.
Conclusion: Female sex, low bone mineral density, and high ADL scale were related to hip fractures in the elderly. Knee osteoarthritis should be regarded as an independent risk factor for fractures because of an increased risk of falling.
Keywords: Hip fracture, Elderly patients, Risk factors
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