@article{ref1,
title="A selection strategy was developed for fracture reduction programs in frail older people",
journal="Journal of clinical epidemiology",
year="2010",
author="Chen, Jian Sheng and Sambrook, Philip N. and Simpson, Judy M. and March, Lyn M. and Cumming, Robert G. and Seibel, Markus J. and Lord, Stephen R. and Cameron, Ian D.",
volume="63",
number="6",
pages="679-685",
abstract="OBJECTIVES: The aims of this study were to develop and evaluate a simple index for assessing the risk of fractures after a fall and to propose a selection strategy for identifying elderly individuals at high risk of both falls and fall-related fractures. STUDY DESIGN AND SETTING: Two thousand five institutionalized older men and women were assessed for clinical risk factors and then followed up for falls and fall-related fractures for up to 2 years. RESULTS: Our fracture risk index is derived from seven previously identified significant independent risk factors: weight, lower leg length, balance, cognitive function, type of institution, fracture history, and falls in the past year. The fracture rate was 6.5 times greater in the one-sixth of the falls with the highest index (9.7/100 falls) than in the lowest sixth (1.5/100 falls). Our proposed approach (based on balance, risk of falls, and the fracture risk index) selected a group of older people with high risk of both falls and fall-related fracture. The fracture incidence rate was 144% higher, and the falls incidence rate was 31% higher in the selected residents than in the remainder. CONCLUSION: The index could help rationalize fracture prevention programs for frail older people.<p /> <p>Language: en</p>",
language="en",
issn="0895-4356",
doi="10.1016/j.jclinepi.2009.08.018",
url="http://dx.doi.org/10.1016/j.jclinepi.2009.08.018"
}