The epidemic of hip fractures: are we on the right track?

<h4>Background</h4>Hip fractures are a public health problem, leading to hospitalization, long-term rehabilitation, reduced quality of life, large healthcare expenses, and a high 1-year mortality. Especially older adults are at greater risk of fractures than the general population, due t...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Klaas A Hartholt, Christian Oudshoorn, Stephanie M Zielinski, Paul T P W Burgers, Martien J M Panneman, Ed F van Beeck, Peter Patka, Tischa J M van der Cammen
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2011
Materias:
R
Q
Acceso en línea:https://doaj.org/article/260d4f983d90467bbeef7e4e3294a55f
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:260d4f983d90467bbeef7e4e3294a55f
record_format dspace
spelling oai:doaj.org-article:260d4f983d90467bbeef7e4e3294a55f2021-11-18T06:49:31ZThe epidemic of hip fractures: are we on the right track?1932-620310.1371/journal.pone.0022227https://doaj.org/article/260d4f983d90467bbeef7e4e3294a55f2011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21799797/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Hip fractures are a public health problem, leading to hospitalization, long-term rehabilitation, reduced quality of life, large healthcare expenses, and a high 1-year mortality. Especially older adults are at greater risk of fractures than the general population, due to the combination of an increased fall risk and osteoporosis. The aim of this study was to determine time trends in numbers and incidence rates of hip fracture-related hospitalizations and admission duration in the older Dutch population.<h4>Methods and findings</h4>Secular trend analysis of all hospitalizations in the older Dutch population (≥65 years) from 1981 throughout 2008, using the National Hospital Discharge Registry. Numbers, age-specific and age-adjusted incidence rates (per 10,000 persons) of hospital admissions and hospital days due to a hip fracture were used as outcome measures in each year of the study. Between 1981 and 2008, the absolute number of hip fractures doubled in the older Dutch population. Incidence rates of hip fracture-related hospital admissions increased with age, and were higher in women than in men. The age-adjusted incidence rate increased from 52.0 to 67.6 per 10,000 older persons. However, since 1994 the incidence rate decreased (percentage annual change -0.5%, 95% CI: -0.7; -0.3), compared with the period 1981-1993 (percentage annual change 2.3%, 95% CI: 2.0; 2.7). The total number of hospital days was reduced by a fifth, due to a reduced admission duration in all age groups. A possible limitation was that data were obtained from a linked administrative database, which did not include information on medication use or co-morbidities.<h4>Conclusions</h4>A trend break in the incidence rates of hip fracture-related hospitalizations was observed in the Netherlands around 1994, possibly as a first result of efforts to prevent falls and fractures. However, the true cause of the observation is unknown.Klaas A HartholtChristian OudshoornStephanie M ZielinskiPaul T P W BurgersMartien J M PannemanEd F van BeeckPeter PatkaTischa J M van der CammenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 7, p e22227 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Klaas A Hartholt
Christian Oudshoorn
Stephanie M Zielinski
Paul T P W Burgers
Martien J M Panneman
Ed F van Beeck
Peter Patka
Tischa J M van der Cammen
The epidemic of hip fractures: are we on the right track?
description <h4>Background</h4>Hip fractures are a public health problem, leading to hospitalization, long-term rehabilitation, reduced quality of life, large healthcare expenses, and a high 1-year mortality. Especially older adults are at greater risk of fractures than the general population, due to the combination of an increased fall risk and osteoporosis. The aim of this study was to determine time trends in numbers and incidence rates of hip fracture-related hospitalizations and admission duration in the older Dutch population.<h4>Methods and findings</h4>Secular trend analysis of all hospitalizations in the older Dutch population (≥65 years) from 1981 throughout 2008, using the National Hospital Discharge Registry. Numbers, age-specific and age-adjusted incidence rates (per 10,000 persons) of hospital admissions and hospital days due to a hip fracture were used as outcome measures in each year of the study. Between 1981 and 2008, the absolute number of hip fractures doubled in the older Dutch population. Incidence rates of hip fracture-related hospital admissions increased with age, and were higher in women than in men. The age-adjusted incidence rate increased from 52.0 to 67.6 per 10,000 older persons. However, since 1994 the incidence rate decreased (percentage annual change -0.5%, 95% CI: -0.7; -0.3), compared with the period 1981-1993 (percentage annual change 2.3%, 95% CI: 2.0; 2.7). The total number of hospital days was reduced by a fifth, due to a reduced admission duration in all age groups. A possible limitation was that data were obtained from a linked administrative database, which did not include information on medication use or co-morbidities.<h4>Conclusions</h4>A trend break in the incidence rates of hip fracture-related hospitalizations was observed in the Netherlands around 1994, possibly as a first result of efforts to prevent falls and fractures. However, the true cause of the observation is unknown.
format article
author Klaas A Hartholt
Christian Oudshoorn
Stephanie M Zielinski
Paul T P W Burgers
Martien J M Panneman
Ed F van Beeck
Peter Patka
Tischa J M van der Cammen
author_facet Klaas A Hartholt
Christian Oudshoorn
Stephanie M Zielinski
Paul T P W Burgers
Martien J M Panneman
Ed F van Beeck
Peter Patka
Tischa J M van der Cammen
author_sort Klaas A Hartholt
title The epidemic of hip fractures: are we on the right track?
title_short The epidemic of hip fractures: are we on the right track?
title_full The epidemic of hip fractures: are we on the right track?
title_fullStr The epidemic of hip fractures: are we on the right track?
title_full_unstemmed The epidemic of hip fractures: are we on the right track?
title_sort epidemic of hip fractures: are we on the right track?
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/260d4f983d90467bbeef7e4e3294a55f
work_keys_str_mv AT klaasahartholt theepidemicofhipfracturesareweontherighttrack
AT christianoudshoorn theepidemicofhipfracturesareweontherighttrack
AT stephaniemzielinski theepidemicofhipfracturesareweontherighttrack
AT paultpwburgers theepidemicofhipfracturesareweontherighttrack
AT martienjmpanneman theepidemicofhipfracturesareweontherighttrack
AT edfvanbeeck theepidemicofhipfracturesareweontherighttrack
AT peterpatka theepidemicofhipfracturesareweontherighttrack
AT tischajmvandercammen theepidemicofhipfracturesareweontherighttrack
AT klaasahartholt epidemicofhipfracturesareweontherighttrack
AT christianoudshoorn epidemicofhipfracturesareweontherighttrack
AT stephaniemzielinski epidemicofhipfracturesareweontherighttrack
AT paultpwburgers epidemicofhipfracturesareweontherighttrack
AT martienjmpanneman epidemicofhipfracturesareweontherighttrack
AT edfvanbeeck epidemicofhipfracturesareweontherighttrack
AT peterpatka epidemicofhipfracturesareweontherighttrack
AT tischajmvandercammen epidemicofhipfracturesareweontherighttrack
_version_ 1718424341226455040