Song Liu1, Yanbin Zhu1, Wei Chen1, Tao Sun1, Jiaxiang Cheng1, Yingze Zhang2. 1. Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, People's Republic of China. 2. Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, People's Republic of China dryzzhang@126.com.
Abstract
OBJECTIVES: To achieve a quantitative and comprehensive conclusion concerning the risk factors for the second contralateral hip fracture in elderly patients with initial hip fractures. DATA SOURCES: This search was applied to Medline, Embase, Cochrane central database (all up to April 2014). METHODS: All the studies on bilateral hip fractures in elderly patients published in English were reviewed and qualities of included studies were assessed using the Newcastle-Ottawa Scale. All the data were carefully and independently abstracted by two reviewers, any disagreement was settled by discussion. Data was pooled and a meta-analysis completed. RESULTS: A total of 13 case-control studies were identified for the meta-analysis. The significant risk factors were female (odds ratio (OR), 1.30; 95% confidence interval (CI), 1.02-1.64), living in institutions (OR, 2.53; 95% CI, 1.33-4.85), osteoporosis (OR, 10.02; 95% CI, 5.41-18.57), low vision (OR, 2.09; 95% CI, 1.06-4.12), dementia (OR, 2.02; 95% CI, 1.54-2.65), dizziness (OR, 2.87; 95% CI, 1.42-5.87) cardiac diseases (OR, 1.33; 95% CI, 1.00-1.78) and respiration diseases (OR, 2.58; 95% CI, 1.22-5.47). No significant difference was found in admission age between patients with the unilateral hip fracture and the first hip fracture of bilateral hip groups (standardized mean difference, 0.02, 95% CI, -0.30 to 0.35]. CONCLUSIONS: Patients involved with female, living in institutions, osteoporosis, low vision, dizziness, dementia, respiration diseases and cardiac diseases were at risk for a second contralateral hip fracture after the initial hip fracture.
OBJECTIVES: To achieve a quantitative and comprehensive conclusion concerning the risk factors for the second contralateral hip fracture in elderly patients with initial hip fractures. DATA SOURCES: This search was applied to Medline, Embase, Cochrane central database (all up to April 2014). METHODS: All the studies on bilateral hip fractures in elderly patients published in English were reviewed and qualities of included studies were assessed using the Newcastle-Ottawa Scale. All the data were carefully and independently abstracted by two reviewers, any disagreement was settled by discussion. Data was pooled and a meta-analysis completed. RESULTS: A total of 13 case-control studies were identified for the meta-analysis. The significant risk factors were female (odds ratio (OR), 1.30; 95% confidence interval (CI), 1.02-1.64), living in institutions (OR, 2.53; 95% CI, 1.33-4.85), osteoporosis (OR, 10.02; 95% CI, 5.41-18.57), low vision (OR, 2.09; 95% CI, 1.06-4.12), dementia (OR, 2.02; 95% CI, 1.54-2.65), dizziness (OR, 2.87; 95% CI, 1.42-5.87) cardiac diseases (OR, 1.33; 95% CI, 1.00-1.78) and respiration diseases (OR, 2.58; 95% CI, 1.22-5.47). No significant difference was found in admission age between patients with the unilateral hip fracture and the first hip fracture of bilateral hip groups (standardized mean difference, 0.02, 95% CI, -0.30 to 0.35]. CONCLUSIONS:Patients involved with female, living in institutions, osteoporosis, low vision, dizziness, dementia, respiration diseases and cardiac diseases were at risk for a second contralateral hip fracture after the initial hip fracture.
Authors: Jorge Salvador-Marín; Francisco Javier Ferrández-Martínez; Cort D Lawton; Domingo Orozco-Beltrán; Jose Fernando Martínez-López; Bryan T Kelly; Juan Carlos Marzo-Campos Journal: Sci Rep Date: 2021-12-16 Impact factor: 4.379
Authors: Christian Muschitz; Ralf Harun Zwick; Judith Haschka; Hans Peter Dimai; Martina Rauner; Karin Amrein; Robert Wakolbinger; Peter Jaksch; Ernst Eber; Peter Pietschmann Journal: Wien Klin Wochenschr Date: 2021-06-16 Impact factor: 1.704