Foo Leng, Huat
(2009)
The Ninth European Congress on Clinical and Economic Aspect of
Osteoporosis and Osteparthritis
Athens, Greece
18 - 21 Mac 2009.
Other.
Pusat Pengajian Sains Perubatan.
(Submitted)
Abstract
The increasing life expectancy is known to be associated with a
greater frailty of elderly people and with a number of chronic and
degenerative diseases. Osteoporosis and its complications- especially
hip fractures, represent, probably, one of the most frequent
disease in western population.
Given the increasing importance of the morbidity and mortality
associated with hip fractures, it is fundamental to identify
screening methods in order to prevent them appropriately. Op~
tim a! identification of high-risk individuals would he a simple
questionnaire assessing easy-to-know information on patients,
linked to hip fracture risk.
The FRACTURE index is a model identifying variables that
could be easily assessed in either clinical practice or by self-administration.
This model was developed and validated by Black
for the screening of risk factors among patients in the orthopedics
clinical practice allowing important insights about patient
5-years probability of hip fracture occurrence (every 2 units of
FRACTURE index there is about a two fold increase of 5-yrs hip
fracture probability).
The assessment tool is a set of seven key parameters that can
be easily asked to a patient within the usual orthopedic practice:
these parameters indude age, BMD T-score, fracture after age
50 years, maternal hip fracture after age SO, weight less than or
equal to 57 kg, smoking status, and use of arms to stand up from
a chair.
We performed an epidemiological cohort study, evaluating the
FRACTURE index among 8590 patients recruited in 145 Italian
Orthopedics divisions. Among the overall patients recruited, 3497
had a recent hip fracture. About 80% of fractured patients had
a FRACTURE index >8/15. Our epidemiological cohort study
confirms the validity of FRACTURE score index assessment in a
clinical setting to establish the hip fracture risk probability.
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