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Incidence of second hip fractures. A population-based study
E Lönnroos1, H Kautiainen, P Karppi
1Department of Geriatrics, Central Finland Hospital, Jyväskylä, Finland. eija.lonnroos@uku.fi
Summary
The incidence of second hip fractures is higher than first hip fractures, highlighting a need for improved osteoporosis care and cautious psychotropic drug prescription. This emphasizes the importance of secondary fracture prevention strategies.
Area of Science:
- Gerontology
- Orthopedics
- Pharmacology
Background:
- Second hip fractures pose a significant public health concern.
- Understanding the incidence and risk factors for repeat hip fractures is crucial for effective prevention.
Purpose of the Study:
- To determine the incidence of second hip fractures.
- To analyze changes in pharmacotherapy, particularly psychotropic and osteoporosis medications, between first and second hip fractures.
Main Methods:
- A retrospective cohort study of hip fracture patients aged >= 60 years in the Central Finland Health Care District (2002-2006).
- Data collection involved hospital registers and medical records to identify hip fractures and medication use.
Main Results:
- The cumulative incidence of second hip fractures was 5.08% at one year and 8.11% at two years post-fracture.
- Psychotropic drug use increased from 36% to 59% between fractures.
- Osteoporosis diagnosis was low (23%), with suboptimal treatment rates for osteoporosis medications.
Conclusions:
- There is a high incidence of second hip fractures, indicating a need for enhanced secondary prevention strategies.
- Improved osteoporosis management and more judicious prescribing of psychotropic drugs are essential to reduce the risk of repeat hip fractures.
