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Updated: May 3, 2026
12:04
Assessment of Bone Fracture Healing Using Micro-Computed Tomography
Published on: December 9, 2022
2.5K
Falls and comorbidity: the pathway to fractures
Terese Sara Høj Jørgensen1, Annette Højmann Hansen, Marie Sahlberg
11Department of Geriatric Medicine, Nykøbing-Falster Hospital, Denmark.
Scandinavian Journal of Public Health
|January 18, 2014
Summary
Nationwide data show declining hip and proximal humeral fractures in older adults. Reduced falls risk comorbidities likely explain this fracture incidence decrease, improving patient outcomes.
Area of Science:
- Gerontology
- Epidemiology
- Orthopedic Surgery
Background:
- Hip and proximal humeral fractures are significant causes of morbidity and mortality in older adults.
- Falls risk related comorbidities (FRICs) are common in this population and may influence fracture incidence.
Purpose of the Study:
- To analyze nationwide time trends in hip and proximal humeral fractures.
- To investigate the association between FRICs and fracture incidence.
- To examine mortality rates following these fractures.
Main Methods:
- Retrospective cohort study using Danish administrative registries (2000-2009).
- Inclusion of individuals aged 65+ with hip or proximal humeral fractures.
- Analysis of fracture and FRIC incidence, incidence rate ratios (IRRs), and all-cause mortality.
Main Results:
- A total of 89,150 hip and 48,581 proximal humeral fractures were recorded.
- Fracture incidence declined significantly in both males and females from 2000-2009.
- Incidences of FRICs also decreased, correlating with reduced fracture rates; elevated IRRs were observed for fractures in patients with FRICs.
Conclusions:
- The observed reduction in hip and proximal humeral fractures is likely attributable to a decrease in falls risk related comorbidities.
- These findings highlight the importance of managing comorbidities to prevent fractures in the elderly population.
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