Risk Factors of Proximal Hip Fractures in Older Patients

Abstract

Background. Nowadays, proximal hip fractures (PHF) remain an important medical and social problem. As it is proven that its impact is very different in various populations, the studies of risk factors are continuing. The aim of this study was to evaluate risk factors of PHF in older patients with PHF. Materials and methods. The study involved 122 patients aged 50 years old and over (88 women and 34 men with intra- and extra-articular PHF). The risk factors for osteoporosis and fractures was assessed by a questionnaire (Ukrainian version of FRAX®, supplemented by the authors). Results. 79.4 % of men and 73.9 % of women were found to have clinically diagnosed fractures in anamnesis. Forearm (39.4 %), vertebral (25.8 %) and humerus fractures (12.1%) were observed most often in women. Humerus and tibia (25 %), forearm fractures and vertebral fractures (17.9 %). were revealed in men. The term from the previous fracture was over 5 years in 80.3 % of women and 78.6 % of men. 52.3 % of women and 50.0 % of men with PHF had verified family history of hip fracture in close relatives (mother or father). Moreover, 79.4 % of men and 71.6 % of women confirmed the presence of other fractures at any sites in close relatives. 10-year probability of hip fracture (FRAX®) was 3 or more in 85.3 % of men and 52.1 % of women that indicates the necessity of its assessment for opportune treatment of osteoporosis. Conclusions. Our results should be considered for preventive measures planning in patients of older age groups with osteoporosis.