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Related Experiment Video

Updated: Jul 11, 2025

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Imminent fall risk after fracture.

Merle R Schene1,2,3, Caroline E Wyers1,2,4, Annemariek M H Driessen5,6,7

  • 1Department of Internal Medicine, VieCuri Medical Center, P.O. Box 1926, 5900 BX Venlo, The Netherlands.

Age and Ageing
|November 6, 2023
PubMed
Summary
This summary is machine-generated.

Adults over 50 with a recent fracture face a heightened risk of falls, especially within the first year. This study confirms an imminent fall risk after fractures, emphasizing the need for early assessment and prevention strategies.

Keywords:
accidental fallsclinical practice research datalinkimminent fall riskimminent fracture riskolder peoplerisk

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Area of Science:

  • Gerontology
  • Epidemiology
  • Orthopedics

Background:

  • Adults with recent fractures have a high risk of subsequent fractures.
  • Fall risk is hypothesized to be highest immediately after a fracture.

Purpose of the Study:

  • To assess if fall risk is time-dependent in subjects with a recent fracture compared to fracture-free subjects.
  • To evaluate the immediate and time-dependent fall risk following a fracture in older adults.

Main Methods:

  • Retrospective matched cohort study using UK Clinical Practice Research Datalink GOLD data.
  • Inclusion of subjects aged 50+ with a fracture (1993-2015), matched one-to-one to fracture-free controls.
  • Calculation of cumulative incidence and relative risk (RR) of falls, with mortality as a competing risk, stratified by age, sex, and fracture type.

Main Results:

  • 624,460 subjects included (312,230 fracture, 312,230 controls); 71% female, mean age 70.
  • The relative risk (RR) of falls was highest in the first year post-fracture; males had a 3-fold, females a 2-fold higher risk.
  • Imminent fall risk was observed across all ages and fracture types, declining over time, with concurrent fracture and mortality risks.

Conclusions:

  • A significant imminent fall risk exists in the years following a fracture for all age groups and fracture types.
  • Early fall risk assessment and prevention strategies are crucial for adults aged 50+ who have experienced a recent fracture.
  • The findings highlight the critical window of vulnerability immediately after a fracture, necessitating timely interventions.