@article{ref1,
title="Fracture epidemiology and control in a developmental center",
journal="Western journal of medicine",
year="1999",
author="Lohiya, G. S. and Crinella, F. M. and Tan-Figueroa, L. and Caires, S. and Lohiya, S.",
volume="170",
number="4",
pages="203-209",
abstract="During 3.5 years, 182 fractures occurred among 994 residents of a developmental center. The fracture rate was 5.2 per 100 person-years (1.7 times greater than the rate in the US population). Fracture rate was significantly greater in residents with: epilepsy, older age, male gender, white race, independent ambulation, osteoporosis, and residence in intermediate care (versus skilled nursing) units; it was not affected by severity of mental retardation. Hand and foot bones were fractured in 58% of cases. Femur fracture occurred in 13 cases (7%). Fracture was caused by a fall in 41 cases (23%); its cause was indeterminable in 105 cases (58%). Fractures, occurring without significant injury, may be an important cause of preventable disability in this population. Control measures are suggested.<p /><p>Language: en</p>",
language="en",
issn="0093-0415",
doi="",
url="http://dx.doi.org/"
}