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Association Between Sleep Quality and Geriatric Hip Fracture: A Prospective Comparative Study
Erkan Akgun1, Kemal Sibar2, Huseyin Emre Tepedelenlioglu2
1Department of Orthopedics and Traumatology, Etlik Lokman Hekim Hospital, Ankara, Turkey.
Geriatric Orthopaedic Surgery & Rehabilitation
|April 3, 2026
Summary
Geriatric hip fracture patients experience poorer sleep quality. Identifying sleep disturbances can help prevent falls and fractures in older adults.
Area of Science:
- Geriatric Medicine
- Orthopedics
- Sleep Medicine
Background:
- Hip fractures are a significant concern in the elderly population.
- Sleep disturbances are increasingly recognized as a potential contributing factor to adverse health outcomes in older adults.
Purpose of the Study:
- To investigate the association between sleep disturbance and geriatric hip fracture.
- To compare sleep quality in patients with hip fractures versus a control group undergoing elective orthopedic surgery.
Main Methods:
- A case-control study included 180 patients (90 hip fracture, 90 controls) aged ≥65 years.
- Sleep quality was assessed using the Pittsburg Sleep Quality Index (PSQI).
- Bone mineral density (DEXA), serum calcium, and vitamin D levels were also measured.
Main Results:
- Hip fracture patients had significantly higher PSQI scores, indicating poorer sleep quality (p=0.005).
- Poor sleep quality (PSQI >5) was more prevalent in the fracture group (73.3% vs 33.3%, p<0.001).
- Lower serum calcium levels were observed in the fracture group (p<0.001).
Conclusions:
- Geriatric patients with hip fractures exhibit poorer sleep quality compared to controls.
- Screening for sleep problems may identify high-risk individuals for fall prevention strategies.
- Sleep quality is a modifiable factor that could be targeted in geriatric fall prevention.
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