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2024-12-01

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cc-by-nc-nd (c) Elsevier, 2024
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/217008

Predictive factors of osteoporotic hip fracture in octogenarians

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Recurs relacionat

https://doi.org/10.1016/j.rceng.2024.01.001

Resum

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.

Matèries

Alimentació de les persones grans, Factors de risc en les malalties, Densitometria òssia, Osteoporosi, Persones grans

Matèries (anglès)

Older people nutrition, Risk factors in diseases, Bone densitometry, Osteoporosis, Older people

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Articles publicats en revistes (Medicina)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

CAPDEVILA RENIU, Aina, NAVARRO LÓPEZ, Margarita, SAPENA, Víctor, JORDAN, A.i., ARROYO HUIDOBRO, Marta, LÓPEZ-SOTO, Alfonso. Predictive factors of osteoporotic hip fracture in octogenarians. _Revista Clinica Española_. 2024. Vol. 224, núm. 2, pàgs. 77-85. [consulta: 24 de gener de 2026]. ISSN: 0014-2565. [Disponible a: https://hdl.handle.net/2445/217008]

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