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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 6/2021

09.12.2020 | Original Contributions

Association between falling direction and age in older patients with hip fractures

verfasst von: Masanori Morikawa, PhD Prof Yukio Urabe, Noriaki Maeda, Yuta Suzuki, Sasadai Junpei, Toshiki Kobayashi, Taizan Shirakawa

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 6/2021

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Abstract

Background

The incidence of fall-related hip fractures in old patients aged over 85 years was reported to be higher than that in old patients aged between 65 and 84 years; however, there are no known studies that reported differences of these age groups with respect to the falling situation.

Objective

This study investigated the association between age and falling direction in patients with hip fractures.

Material and methods

This study analyzed the medical records of older patients with fall-related hip fractures who were hospitalized in 2011–2018. Demographic (sex, age, and body mass index, BMI), medical and clinical (body mineral density, type of fracture, and cognitive function), and lifestyle variables (use of assistive device for locomotion and place of residence) and characteristics of falling (direction and location) were extracted. These were compared between the patients aged between 65 and 84 years (65–84 group) and over 85 years (85+ group). Multivariable logistic regression analysis was conducted to investigate associations with each falling direction (forward, sideways, and backward) with other variables.

Results

Compared with the 65–84 group, the proportion of hip fractures due to sideways falls was lower in the 85+ group (P < 0.05) while the proportion of hip fractures due to backward falls was higher in the 85+ group. The multivariable logistic regression analysis showed the sideways and backward falling were only associated with the age group.

Conclusion

These results suggested that the falling direction was associated with age but not with other variables investigated in this study in older patients with hip fractures.
Literatur
1.
Zurück zum Zitat Jaul E, Barron J (2017) Age-related diseases and clinical and public health implications for the 85 years old and over population. Front Public Health 5:335 PubMedPubMedCentralCrossRef Jaul E, Barron J (2017) Age-related diseases and clinical and public health implications for the 85 years old and over population. Front Public Health 5:335 PubMedPubMedCentralCrossRef
4.
Zurück zum Zitat Sullivan KJ, Husak LE, Altebarmakian M, Brox WT (2016) Demographic factors in hip fracture incidence and mortality rates in California, 2000–2011. J Orthop Surg Res 11:4 PubMedPubMedCentralCrossRef Sullivan KJ, Husak LE, Altebarmakian M, Brox WT (2016) Demographic factors in hip fracture incidence and mortality rates in California, 2000–2011. J Orthop Surg Res 11:4 PubMedPubMedCentralCrossRef
5.
Zurück zum Zitat Moon A, Gray A, Deehan D (2011) Neck of femur fractures in patient’s aged more than 85 years—are they a unique subset? Geriatr Orthop Surg Rehabil 2:123–127 PubMedPubMedCentralCrossRef Moon A, Gray A, Deehan D (2011) Neck of femur fractures in patient’s aged more than 85 years—are they a unique subset? Geriatr Orthop Surg Rehabil 2:123–127 PubMedPubMedCentralCrossRef
6.
Zurück zum Zitat Schwartz AV, Kelsey JL, Sidney S, Grisso JA (1988) Characteristics of falls and risk of hip fracture in elderly men. Osteoporos Int 8:240–246 CrossRef Schwartz AV, Kelsey JL, Sidney S, Grisso JA (1988) Characteristics of falls and risk of hip fracture in elderly men. Osteoporos Int 8:240–246 CrossRef
7.
Zurück zum Zitat Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H, Järvinen M (1999) Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int 65:183–187 PubMedCrossRef Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H, Järvinen M (1999) Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int 65:183–187 PubMedCrossRef
8.
Zurück zum Zitat Hwang HF, Lee HD, Huang HH, Chen CY, Lin MR (2011) Fall mechanisms, bone strength, and hip fractures in elderly men and women in Taiwan. Osteoporos Int 22:2385–2393 PubMedCrossRef Hwang HF, Lee HD, Huang HH, Chen CY, Lin MR (2011) Fall mechanisms, bone strength, and hip fractures in elderly men and women in Taiwan. Osteoporos Int 22:2385–2393 PubMedCrossRef
9.
Zurück zum Zitat King MB, Judge JO, Wolfson L (1994) Functional base of support decreases with age. J Gerontol 49:258–263 CrossRef King MB, Judge JO, Wolfson L (1994) Functional base of support decreases with age. J Gerontol 49:258–263 CrossRef
10.
Zurück zum Zitat Crenshaw JR, Bernhardt KA, Achenbach SJ, Atkinson EJ, Khosla S, Kaufman KR, Amin S (2017) The circumstances, orientations, and impact locations of falls in community-dwelling older women. Arch Gerontol Geriatr 73:240–247 PubMedPubMedCentralCrossRef Crenshaw JR, Bernhardt KA, Achenbach SJ, Atkinson EJ, Khosla S, Kaufman KR, Amin S (2017) The circumstances, orientations, and impact locations of falls in community-dwelling older women. Arch Gerontol Geriatr 73:240–247 PubMedPubMedCentralCrossRef
11.
Zurück zum Zitat Kennedy TE (1987) The prevention of falls in later life: A report of the Kellogg International Work Group on the prevention of falls by the elderly. Dan Med Bull 34:1–24 Kennedy TE (1987) The prevention of falls in later life: A report of the Kellogg International Work Group on the prevention of falls by the elderly. Dan Med Bull 34:1–24
12.
Zurück zum Zitat Imai Y, Hasegawa K (1994) The revised Hasegawa’s dementia scale (HDS-R)-evaluation of its usefulness as a screening test for dementia. Hong Kong J Psychiatry 4:20 Imai Y, Hasegawa K (1994) The revised Hasegawa’s dementia scale (HDS-R)-evaluation of its usefulness as a screening test for dementia. Hong Kong J Psychiatry 4:20
13.
Zurück zum Zitat Nishida C, Yajnik CS, Yudkin JS (2004) WHO expert consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363:157–163 CrossRef Nishida C, Yajnik CS, Yudkin JS (2004) WHO expert consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363:157–163 CrossRef
14.
Zurück zum Zitat Soen S, Fukunaga M, Sugimoto T, Sone T, Fujiwara S, Endo N, Ohta H (2013) Diagnostic criteria for primary osteoporosis: year 2012 revision. J Bone Miner Metab 31:247–257 PubMedCrossRef Soen S, Fukunaga M, Sugimoto T, Sone T, Fujiwara S, Endo N, Ohta H (2013) Diagnostic criteria for primary osteoporosis: year 2012 revision. J Bone Miner Metab 31:247–257 PubMedCrossRef
15.
Zurück zum Zitat Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39(2):175–191 CrossRef Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39(2):175–191 CrossRef
16.
Zurück zum Zitat Lee A, Bhatt T, Smith-Ray RL, Wang E, Pai YC (2019) Gait speed and dynamic stability decline accelerates only in late life: a cross-sectional study in community-dwelling older adults. J Geriatr Phys Ther 42:73–80 PubMedPubMedCentralCrossRef Lee A, Bhatt T, Smith-Ray RL, Wang E, Pai YC (2019) Gait speed and dynamic stability decline accelerates only in late life: a cross-sectional study in community-dwelling older adults. J Geriatr Phys Ther 42:73–80 PubMedPubMedCentralCrossRef
17.
Zurück zum Zitat Shimada H, Kim H, Yoshida H, Suzukawa M, Makizako H, Yoshida Y, Suzuki T (2010) Relationship between age-associated changes of gait and falls and life-space in elderly people. J Phys Ther Sci 22:419–424 CrossRef Shimada H, Kim H, Yoshida H, Suzukawa M, Makizako H, Yoshida Y, Suzuki T (2010) Relationship between age-associated changes of gait and falls and life-space in elderly people. J Phys Ther Sci 22:419–424 CrossRef
18.
Zurück zum Zitat Smeesters C, Hayes WC, McMahon TA (2001) Disturbance type and gait speed affect fall direction and impact location. J Biomech 34:309–317 PubMedCrossRef Smeesters C, Hayes WC, McMahon TA (2001) Disturbance type and gait speed affect fall direction and impact location. J Biomech 34:309–317 PubMedCrossRef
19.
Zurück zum Zitat Kim SH, Yi SW, Yi JJ, Kim YM, Won YJ (2018) Association between body mass index and the risk of hip fracture by sex and age: a prospective cohort study. J Bone Miner Res 33:1603–1611 PubMedCrossRef Kim SH, Yi SW, Yi JJ, Kim YM, Won YJ (2018) Association between body mass index and the risk of hip fracture by sex and age: a prospective cohort study. J Bone Miner Res 33:1603–1611 PubMedCrossRef
20.
Zurück zum Zitat Li Y, Lin J, Cai S, Yan L, Pan Y, Yao X, Zeng Y (2016) Influence of bone mineral density and hip geometry on the different types of hip fracture. Bosn J Basic Med Sci 16:35 PubMedPubMedCentralCrossRef Li Y, Lin J, Cai S, Yan L, Pan Y, Yao X, Zeng Y (2016) Influence of bone mineral density and hip geometry on the different types of hip fracture. Bosn J Basic Med Sci 16:35 PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Rapp K, Büchele G, Dreinhöfer K, Bücking B, Becker C, Benzinger P (2019) Epidemiology of hip fractures. Z Gerontol Geriatr 52:10–16 PubMedCrossRef Rapp K, Büchele G, Dreinhöfer K, Bücking B, Becker C, Benzinger P (2019) Epidemiology of hip fractures. Z Gerontol Geriatr 52:10–16 PubMedCrossRef
22.
Zurück zum Zitat Moon Y, Sosnoff JJ (2017) Safe landing strategies during a fall: systematic review and meta-analysis. Arch Phys Med Rehabil 98:783–794 PubMedCrossRef Moon Y, Sosnoff JJ (2017) Safe landing strategies during a fall: systematic review and meta-analysis. Arch Phys Med Rehabil 98:783–794 PubMedCrossRef
23.
Zurück zum Zitat de Bot RTAL, Veldman HD, Witlox AM (2020) Hip protectors are cost-effective in the prevention of hip fractures in patients with high fracture risk. Osteoporos Int 31:1–13 de Bot RTAL, Veldman HD, Witlox AM (2020) Hip protectors are cost-effective in the prevention of hip fractures in patients with high fracture risk. Osteoporos Int 31:1–13
Metadaten
Titel
Association between falling direction and age in older patients with hip fractures
verfasst von
Masanori Morikawa
PhD Prof Yukio Urabe
Noriaki Maeda
Yuta Suzuki
Sasadai Junpei
Toshiki Kobayashi
Taizan Shirakawa
Publikationsdatum
09.12.2020
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 6/2021
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-020-01824-0