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Title: | Predictive factors of osteoporotic hip fracture in octogenarians |
Author: | Capdevila Reniu, Aina Navarro López, Margarita Sapena, Víctor Jordan, A.I. Arroyo Huidobro, Marta López-Soto, Alfonso |
Keywords: | Alimentació de les persones grans Factors de risc en les malalties Densitometria òssia Osteoporosi Persones grans Older people nutrition Risk factors in diseases Bone densitometry Osteoporosis Older people |
Issue Date: | 1-Dec-2024 |
Publisher: | Elsevier |
Abstract: | Objective: This study aims to identify the risk factors associated with osteoporotic hip fractures in octogenarians and seeks to refine primary prevention strategies for these fractures. Material and methods: We conducted a case-control study involving individuals aged 79 years and older with hip fractures, comparing them to age- and sex-matched controls without a history of hip fractures. We collected epidemiological, clinical, anthropometric, and analytical factors. We evaluated the presence of osteoporosis using bone densitometry. We defined sarcopenia according the European Working Group on Sarcopenia in Older People criteria (EWGSOP2). Results: Ninety-five patients per group were analyzed, with a mean age of 82 years, of which 74% were women. The multivariate analysis included statistically significant factors found in the univariate analysis (p < 0.05). These factors included the Barthel Index, nutritional assessment using the CONUT tool, folic acid, vitamin D deficiency, presence of previous fractures, loss of visual acuity, bicipital circumference, sarcopenia, and osteoporosis (densitometry in the neck of the femur). The Nutritional state (OR: 0.08 [0.01-0.61]), the folic acid levels (OR 0.32 [0.1-1]), and a loss of visual acuity (OR 33.16 [2.91-377.87]) were the independent risk factors associated with hip fracture. Conclusions: The assessment of nutritional status in elderly patients, coupled with a comprehensive geriatric assessment, represents easily reproducible and cost-effective tools. These tools can effectively aid in identifying individuals at risk of hip fractures, thereby contributing to more targeted and efficient preventive measures. |
Note: | Versió postprint del document publicat a: https://doi.org/10.1016/j.rceng.2024.01.001 |
It is part of: | Revista Clinica Española, 2024, vol. 224, num.2, p. 77-85 |
URI: | https://hdl.handle.net/2445/217008 |
Related resource: | https://doi.org/10.1016/j.rceng.2024.01.001 |
ISSN: | 0014-2565 |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
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