Osteoporosis International

, Volume 4, Issue 1, pp 6–10

The incidence of hip fractures in independent and institutionalized elderly people

Authors

  • M. E. Ooms
    • Institute for Research in Extramural Medicine (EMGO-Institute)Vrije Universiteit, Medical Faculty
  • P. Vlasman
    • Institute for Research in Extramural Medicine (EMGO-Institute)Vrije Universiteit, Medical Faculty
  • P. Lips
    • Institute for Research in Extramural Medicine (EMGO-Institute)Vrije Universiteit, Medical Faculty
    • Department of EndocrinologyFree University Hospital
  • J. Nauta
    • Institute for Research in Extramural Medicine (EMGO-Institute)Vrije Universiteit, Medical Faculty
    • Department of Epidemiology and BiostatisticsVrije Universiteit
  • L. M. Bouter
    • Institute for Research in Extramural Medicine (EMGO-Institute)Vrije Universiteit, Medical Faculty
    • Department of Epidemiology and BiostatisticsVrije Universiteit
  • H. A. Valkenburg
    • Institute for Research in Extramural Medicine (EMGO-Institute)Vrije Universiteit, Medical Faculty
Original Article

DOI: 10.1007/BF02352254

Cite this article as:
Ooms, M.E., Vlasman, P., Lips, P. et al. Osteoporosis Int (1994) 4: 6. doi:10.1007/BF02352254

Abstract

The incidence density of hip fractures in the population of Amsterdam, aged 70 years and over, was studied according to the type of residence. In 1989, 655 patients were admitted to nine hospitals within Amsterdam for a hip fracture. Postal codes were used to classify the residence of the population and the hip fracture cases as independent, home for the elderly or nursing home. Stepwise logistic regression was used for data analysis. The risk of hip fracture increased with age and was 1.7 times higher for women than for men. In the age group 70–74 years the relative risk (RR) was 7.6 for those in homes for the elderly and 5.8 for those in nursing homes, when compared with the independent elderly. This RR was approximately 1 for those in homes for the elderly aged 85 years and over. However, in nursing homes the RR was still 2.8 in the age group 95+. We concluded that, despite protective measures against falls, the institutionalized elderly are at greater risk of hip fracture than the independent elderly of the same age and sex. This higher risk is especially apparent in the ‘younger’ age groups.

Keywords

Elderly peopleHip fracturesOsteoporosisResidence
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Copyright information

© European Foundation for Osteoporosis 1994