Age and Ageing, Vol 28, 135-139, Copyright © 1999 by British Geriatrics Society
R Norton, AJ Campbell, IR Reid, M Butler, R Currie, E Robinson and H Gray
OBJECTIVE: to examine the association between residential status and risk
of hip fracture in older people. DESIGN: population-based case- control
study. SETTING: Auckland, New Zealand. SUBJECTS: a random sample of all
individuals > or = 60 years, hospitalized with a fracture of the
proximal femur between July 1991 and February 1994. Controls were age and
gender frequency-matched to the cases, randomly selected from a random
sample of general practitioners. MAIN OUTCOME MEASURES:
radiographically-confirmed fracture of the proximal femur. Fractures
sustained as a result of major trauma, such as in a motor vehicle crash,
and those associated with pre-existing pathological conditions were
excluded. RESULTS: individuals living in institutions were almost four
times more likely to sustain a hip fracture [age- and gender- adjusted odds
ratio (OR)=3.8; 95% confidence interval (CI): 3.0-4.8] than those living in
private homes. After adjustment for potential confounding factors, the risk
of hip fracture associated with living in an institution remained
significantly increased (P< 0.0001), although the magnitude of the risk
was somewhat diminished (OR=2.2; 95% (CI: 1.5- 3.5). CONCLUSIONS: living in
an institution is associated with an increased risk of hip fracture in
older people. Specific factors that place these individuals at increased
risk need to be identified, in order to develop intervention strategies.
ARTICLES
Residential status and risk of hip fracture
Injury Prevention Research Centre, Department of Community Health, University of Auckland, New Zealand. r.norton@med.usyd.edu.au
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  J. S. Chen, P. N. Sambrook, J. M. Simpson, I. D. Cameron, R. G. Cumming, M. J. Seibel, S. R. Lord, and L. M. March Risk factors for hip fracture among institutionalised older people Age Ageing, July 1, 2009; 38(4): 429 - 434. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Kerse, K. Peri, E. Robinson, T. Wilkinson, M. v. Randow, L. Kiata, J. Parsons, N. Latham, M. Parsons, J. Willingale, et al. Does a functional activity programme improve function, quality of life, and falls for residents in long term care? Cluster randomised controlled trial BMJ, October 9, 2008; 337(oct09_3): a1445 - a1445. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Sawka, J. G. Ray, Q. Yi, R. G. Josse, and E. Lonn Randomized Clinical Trial of Homocysteine Level Lowering Therapy and Fractures Arch Intern Med, October 22, 2007; 167(19): 2136 - 2139. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Sandstrom and L. Lundin-Olsson Development and evaluation of a new questionnaire for rating perceived participation1 Clinical Rehabilitation, September 1, 2007; 21(9): 833 - 845. [Abstract] [PDF]
|
|
|
|
 |
|
 J. Jensen, L. Lundin-Olsson, L. Nyberg, and Y. Gustafson Fall and Injury Prevention in Older People Living in Residential Care Facilities: A Cluster Randomized Trial Ann Intern Med, May 21, 2002; 136(10): 733 - 741. [Abstract] [Full Text] [PDF]
|
|