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Risk factors for the second contralateral hip fracture in elderly patients

LIU S; ZHU Y; CHEN W; SUN T; CHENG J; ZHANG Y
CLIN REHABIL , 2015, vol. 29, n° 3, p. 285-294
Doc n°: 174302
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215514542358
Descripteurs : MA - GERONTOLOGIE, DE34 - TRAUMATISMES - HANCHE

OBJECTIVES: To achieve a quantitative and comprehensive conclusion concerning the
risk factors for the second contralateral hip fracture in elderly patients with
initial hip fractures. DATA SOURCES: This search was applied to Medline, Embase,
Cochrane central database (all up to April 2014).
METHODS: All the studies on
bilateral hip fractures in elderly patients published in English were reviewed
and qualities of included studies were assessed using the Newcastle-Ottawa Scale.
All the data were carefully and independently abstracted by two reviewers, any
disagreement was settled by discussion. Data was pooled and a meta-analysis
completed. RESULTS: A total of 13 case-control studies were identified for the
meta-analysis. The significant risk factors were female (odds ratio (OR), 1.30;
95% confidence interval (CI), 1.02-1.64), living in institutions (OR, 2.53; 95%
CI, 1.33-4.85), osteoporosis (OR, 10.02; 95% CI, 5.41-18.57), low vision (OR,
2.09; 95% CI, 1.06-4.12), dementia (OR, 2.02; 95% CI, 1.54-2.65), dizziness (OR,
2.87; 95% CI, 1.42-5.87) cardiac diseases (OR, 1.33; 95% CI, 1.00-1.78) and
respiration diseases (OR, 2.58; 95% CI, 1.22-5.47). No significant difference was
found in admission age between patients with the unilateral hip fracture and the
first hip fracture of bilateral hip groups (standardized mean difference, 0.02,
95% CI, -0.30 to 0.35]. CONCLUSIONS: Patients involved with female, living in
institutions, osteoporosis, low vision, dizziness, dementia, respiration diseases
and cardiac diseases were at risk for a second contralateral hip fracture after
the initial hip fracture.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS

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