PMID: 8966490Jan 1, 1996Paper

Falls and hip fracture. A reasonable basis for possibilities for prevention? Some preliminary data from the MEDOS study Mediterranean Osteoporosis Study

Scandinavian Journal of Rheumatology. Supplement
E AllanderL Elffors

Abstract

The Mediterranean Osteoporosis Study (MEDOS), a multicentre study on incidence, risk factors, and means of prevention of hip fracture in the Mediterranean region, started in 1986 and involved 14 centres, in Portugal, Spain, France, Italy, Greece, and Turkey. The design includes a case-control study comparing 8,185 individuals in age groups above 50 (2,816 cases and 5,369 controls; two controls per case). Information on falls was only collected for a small fraction of the controls. In a questionnaire including 160 main questions eleven referred to circumstances around the fall. Falls were classified according to a) high risk environment, e.g. occurred in darkness and b) high risk fallers, e.g. confusion, reduced functional ability. There was great variation between centra for a majority of the results. However, 2/3 of fractures happened during daylight. 9% of fractures, same for both males and females, took place in darkness. Females have more indoor fractures than males. Around 15% of fractures took place in connection with going to the toilet. Mental factors play a minor role as reported immediate cause to the fall. Before the fall that caused the hip fracture between 28-84% could get up from a chair without any difficulties. ...Continue Reading

References

Mar 1, 1991·Clinical Rheumatology·J DequekerE Allander
Dec 29, 1988·The New England Journal of Medicine·M E TinettiS F Ginter
Nov 1, 1988·Age and Ageing·J G Evans
Jun 1, 1987·Journal of the American Geriatrics Society·E GranekL E Klein
Oct 1, 1994·Journal of Epidemiology and Community Health·J L O'LoughlinS Suissa
Dec 1, 1993·Scandinavian Journal of Social Medicine·O P RyynänenV Saano
Jan 1, 1993·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J A Kanis
Nov 1, 1995·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·O JohnellG Lyritis

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Citations

May 20, 1998·British Journal of Urology·D S Coffey
Apr 3, 2007·Journal of the American Geriatrics Society·Natasja M van SchoorPaul Lips
Oct 6, 2021·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Shih-Wei Lai

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