Incidence of Lower-Extremity Fractures in US Nursing Homes

Journal of the American Geriatrics Society
Kathryn SineSarah D Berry

Abstract

Limited studies suggest lower-extremity (LE) fractures are morbid events for nursing home (NH) residents. Our objective was to conduct a nationwide study comparing the incidence and resident characteristics associated with hip (proximal femur) vs nonhip LE (femoral shaft and tibia-fibula) fractures in the NH. Retrospective cohort study. US NHs. We included all long-stay residents, aged 65 years or older, enrolled in Medicare from January 1, 2008, to December 31, 2009 (N = 1 257 279). Residents were followed from long-stay qualification until the first event of LE fracture, death, or end of follow-up (2 years). Fractures were classified using Medicare diagnostic and procedural codes. Function, cognition, and medical status were obtained from the Minimum Data Set prior to long-stay qualification. Incidence rates (IRs) were calculated as the total number of fractures divided by person-years. During 42 800 person-years of follow-up, 52 177 residents had an LE fracture (43 695 hip, 6001 femoral shaft, 2481 tibia-fibula). The unadjusted IRs of LE fractures were 1.32/1000 person-years (95% confidence interval [CI] = 1.27-1.38) for tibia-fibula, 3.20/1000 person-years (95% CI = 3.12-3.29) for femoral shaft, and 23.32/1000 person-years ...Continue Reading

References

Jul 1, 1992·Journal of Clinical Epidemiology·W A RayM L Adams
Jun 1, 1990·The Gerontologist·J N MorrisA S Friedlob
Mar 1, 1995·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·S L HartmaierC D Phillips
Jul 16, 1999·Seminars in Arthritis and Rheumatism·P Alonso-BartoloméV Rodriguez-Valverde
Jan 13, 2001·Archives of Gerontology and Geriatrics·C Martin-HunyadiF Kuntzmann
Jul 2, 2002·Archives of Internal Medicine·Sheryl ZimmermanCynthia J Girman
Jan 22, 2003·Journal of the American Geriatrics Society·John P HirdesGary F Teare
Aug 10, 2005·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Jennifer L KelseyStephen Sidney
Sep 29, 2007·The Australian Journal of Physiotherapy·David M Buchner
Jun 2, 2009·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J W NievesF Cosman
Aug 26, 2009·Journal of the American Geriatrics Society·Becky A BriesacherJerry H Gurwitz
Mar 23, 2010·Aging Clinical and Experimental Research·Dmitry ManevichAvital Hershkovitz
Oct 30, 2010·Health Services Research·Orna IntratorVince Mor
Feb 24, 2011·JAMA : the Journal of the American Medical Association·Laura Y Park-WyllieAndreas Laupacis
Jun 21, 2011·Journal of the American Medical Directors Association·Erin HommelHeidi White
Jan 1, 2014·Archives of Physical Medicine and Rehabilitation·Laura D CarboneFrances M Weaver
Jul 24, 2014·JAMA Internal Medicine·Mark D NeumanRachel M Werner
Jan 24, 2016·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A PapaioannouS Jaglal
Apr 21, 2016·BMC Geriatrics·Jean-Eric TarrideRobert B Hopkins
Apr 28, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S D BerryD P Kiel
Sep 29, 2017·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sarah D BerryDouglas P Kiel
Oct 8, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S D BerryD P Kiel
Mar 27, 2018·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·X XiaoQ Wu

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Citations

Aug 14, 2019·Journal of the American Geriatrics Society·Fredrick T Sherman
Dec 16, 2020·Journal of the American Medical Directors Association·Joshua D NiznikCarolyn T Thorpe

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