TY  - JOUR
PY  - 2010//
TI  - A selection strategy was developed for fracture reduction programs in frail older people
JO  - Journal of clinical epidemiology
A1  - Chen, Jian Sheng
A1  - Sambrook, Philip N.
A1  - Simpson, Judy M.
A1  - March, Lyn M.
A1  - Cumming, Robert G.
A1  - Seibel, Markus J.
A1  - Lord, Stephen R.
A1  - Cameron, Ian D.
SP  - 679
EP  - 685
VL  - 63
IS  - 6
N2  - 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>
LA  - en
SN  - 0895-4356
UR  - http://dx.doi.org/10.1016/j.jclinepi.2009.08.018
ID  - ref1
ER  -