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Titolo:
RISK-FACTORS FOR HIP-FRACTURES OCCURRING IN THE HOSPITAL
Autore:
LICHTENSTEIN MJ; GRIFFIN MR; CORNELL JE; MALCOLM E; RAY WA;
Indirizzi:
VANDERBILT UNIV,SCH MED,DEPT PREVENT MED,DIV PHARMACOEPIDEMIOL,221 KIRKLAND HALL NASHVILLE TN 37232 VANDERBILT UNIV,SCH MED,DEPT PREVENT MED,DIV PHARMACOEPIDEMIOL NASHVILLE TN 37232 AUDIE L MURPHY MEM VET ADM MED CTR,CTR GERIATR RES EDUC & CLIN SAN ANTONIO TX 78284 UNIV TEXAS,HLTH SCI CTR,DIV GERIATR & GERONTOL SAN ANTONIO TX 00000 LAB & DIS CONTROL SERV REGINA SK CANADA
Titolo Testata:
American journal of epidemiology
fascicolo: 9, volume: 140, anno: 1994,
pagine: 830 - 838
SICI:
0002-9262(1994)140:9<830:RFHOIT>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
FALLS; LONG; BENZODIAZEPINES; PREVENTION; ACCIDENTS; RESIDENTS; INJURIES;
Keywords:
ACCIDENTAL FALLS; AGED; HIP FRACTURES; HOSPITALS; PSYCHOTROPIC DRUGS; WOUNDS AND INJURIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
M.J. Lichtenstein et al., "RISK-FACTORS FOR HIP-FRACTURES OCCURRING IN THE HOSPITAL", American journal of epidemiology, 140(9), 1994, pp. 830-838

Abstract

Risk factors for in-hospital hip fractures among patients aged greater than or equal to 65 years were evaluated in a population-based case-control study conducted in the Canadian province of Saskatchewan from 1983 through 1985. There were 129 cases with confirmed in-hospital hipfractures and 234 controls, who were those controls from a previous study in this setting hospitalized on their assigned index date. Study variables were abstracted from the hospital chart. Six factors were independently associated with a significantly increased risk of in-hospital hip fracture: impaired vision (odds ratio = 1.97, 95% confidence interval (CI)1.18-3.30), assisted ambulation (odds ratio = 2.12, 95% CI1.25-3.59), confusion (odds ratio = 2.48, 95% CI 1.37-4.48), psychotropic drug use (odds ratio = 2.02, 95% CI 1.22-3.33), lowest weight tertile (odds ratio = 2.86, 95% CI 1.38-5.92), and prior in-hospital fall(odds ratio = 2.71, 95% CI 1.52-4.82). The risk increased substantially with the number of factors present, from an odds ratio of 4.08 (95%CI 1.56-10.67) for one factor (reference group, no factors) to 82.84 (95% CI 18.6-368.7) for four or more factors (p < 0.001, test for trend). These data underscore the multifactorial etiology of in-hospital hip fracture and suggest that prevention programs need to target multiple risk factors.

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Documento generato il 31/03/20 alle ore 10:18:22