FALL SEVERITY AND BONE-MINERAL DENSITY AS RISK-FACTORS FOR HIP FRACTURE IN AMBULATORY ELDERLY
FALL SEVERITY AND BONE-MINERAL DENSITY AS RISK-FACTORS FOR HIP FRACTURE IN AMBULATORY ELDERLY
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DOI：
10.1001/jama.271.2.128
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发表时间：
1994-01-12
影响因子：
120.7
通讯作者：
HAYES, WC
中科院分区：
文献类型：
--
作者：
GREENSPAN, SL;MYERS, ER;HAYES, WC
目的：确定跌倒特征、身体形态和股骨骨密度(BMD)在预测社区老年人髋部骨折中的相对重要性。设计-前瞻性病例对照研究。背景：以社区为基础的学术医院。参与者。-共有149名65岁及以上的活动、社区居住的跌倒者(126名女性，23名男性)，包括72名患者(有髋部骨折的跌倒者)和77名对照跌倒者(没有髋部骨折的跌倒者)。主要观察指标：跌倒特征、身体习性、结果：髋部骨折的显著独立危险因素是跌倒的方向(调整后的优势比[OR]，5.7；95%可信区间[CI]，2.3至14.0；P
Objective.-To determine the relative importance of fall characteristics, body habitus, and femoral bone mineral density (BMD) in predicting hip fracture in community-dwelling elderly.Design.-Prospective case-control study.Setting.-Community-based academic hospital.Participants.-A total of 149 ambulatory, community-dwelling fallers (126 women, 23 men) aged 65 years and older, including 72 case patients (fallers with hip fracture) and 77 control fallers (fallers with no hip fracture).Main Outcome Measures.-Fall characteristics, body habitus, femoral BMD.Results.-Significant and independent risk factors for hip fracture in both sexes were direction of the fall (adjusted odds ratio [OR], 5.7; 95% confidence interval [CI], 2.3 to 14.0; P