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Published on: March 3, 2023
PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES AT A TERTIARY ORTHOPEDIC TRAUMA CENTER
Michael Minsu Shu1, Andre Langes Canhos1, Guilherme Pereira Ocampos1
1. Osteometabolic Diseases Group, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.
Patients with osteoporotic fractures are typically older, white, and unmarried, with a history of falls and previous fractures. These factors, along with lower daily living activity scores, define their unique profile.
Area of Science:
- Orthopedics
- Geriatrics
- Epidemiology
Background:
- Osteoporotic fractures represent a significant health burden, particularly in aging populations.
- Understanding the distinct characteristics of patients experiencing these fractures is crucial for targeted prevention and treatment strategies.
Purpose of the Study:
- To delineate the demographic, clinical, and functional profile of patients with osteoporotic fractures.
- To compare this profile with that of patients suffering from osteoarthritis.
Main Methods:
- A case-control study comparing 70 patients with osteoporotic fractures (OF) to 50 patients with osteoarthritis (OA).
- Data collected via questionnaires, including medical history, functional assessments (Lawton & Brody IADL), and lifestyle factors.
Main Results:
- The OF group was older, lighter, had a lower BMI, and was more likely to be white and unmarried.
- Patients with osteoporotic fractures reported a history of falls, previous fractures, and required more assistance, with lower daily living activity scores.
- White race, previous falls, and previous fractures significantly increased osteoporotic fracture risk.
Conclusions:
- Osteoporotic fracture patient profiles are characterized by race, marital status, history of falls, foot pathologies, prior fractures, and functional independence (IADL scores).
- These factors collectively define the at-risk population for osteoporotic fractures.
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