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2024-12-01

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cc-by-nc-nd (c) Elsevier, 2024
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/217008

Predictive factors of osteoporotic hip fracture in octogenarians

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

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.

Subject

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

Subject (English)

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)

Citation

CAPDEVILA RENIU, Aina, et al. Predictive factors of osteoporotic hip fracture in octogenarians. Revista Clinica Española. 2024. Vol. 224, num. 2, pags. 77-85. ISSN 0014-2565. [consulted: 16 of August of 2026]. Available at: https://hdl.handle.net/2445/217008

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