Vertebral fracture caused the greatest health burden , but hip fracture patients were the main users of informal care after hospital discharge .
There was an increased risk of a subsequent fracture after a primary fracture compared with the control group , a cohort comparison , or the general population .
Osteoporotic fractures , especially hip fractures , are associated with higher mortality rate despite the advances in the management of osteoporotic fracture cases .
There is strong evidence to show that after hospital discharge , osteoporotic fracture patients are faced with higher morbidity , subsequent fractures , and mortality
PURPOSE Osteoporotic fracture is the main complication of osteoporosis .
The current management is to discharge patients as early as possible so they can get back to their daily activities .
Once discharged , there are three main issues relating to morbidity , mortality , and risk of a subsequent fracture that need to be addressed and discussed .
Therefore , the aim of this systematic review was to summarize and evaluate the evidence from published literature , to determine the outcome of osteoporotic fracture patients after their hospital discharge .
Incidence of subsequent hip fractures is significantly increased within the first month after distal radius fracture in patients older than 60 years
BACKGROUND Distal radius fracture is recognized as an osteoporosis-related fracture in aged population . If another osteoporosis-related fracture occurs in a short period , it represents a prolonged hospitalization and a considerable economic burden to the society . We evaluated the relationship between distal radius fracture and subsequent hip fracture within 1 year , especially in the critical time and age . METHODS We identified newly diagnosed distal radius fracture patients in 2000 to 2006 as an exposed cohort ( N = 9,986 ) . A comparison cohort ( N = 81,227 ) was r and omly selected from patients without distal radius fracture in the same year of exposed cohort . The subjects were followed up for 1 year since the recruited date . We compared the sociodemographic factors between two cohorts . Furthermore , the time interval following the previous distal radial fracture and the incidence of subsequent hip fracture was studied in detail . RESULTS The incidence of hip fracture within 1 year increased with age in both cohorts . The risk was 5.67 times ( 84.6 vs. 14.9 per 10,000 person-years ) greater in the distal radial fracture cohort than in the comparison cohort . The multivariate Cox proportional hazard regression analyses showed the hazard ratios of hip fracture in relation to distal radial fracture was 3.45 ( 95 % confidence interval = 2.59–4.61 ) . The highest incidence was within the first month after distal radial fracture , 17-fold higher than the comparison cohort ( 17.9 vs. 1.05 per 10,000 ) . Among comorbidities , age > 60 years was also a significant factor associated with hip fracture ( hazard ratio = 8.67 , 95 % confidence interval = 4.51–16.7 ) . CONCLUSIONS Patients with distal radius fracture and age > 60 years will significantly increase the incidence of subsequent hip fracture , especially within the first month . LEVEL OF EVIDENCE Prognostic/epidemiologic study , level II
Vertebral fracture caused the greatest health burden , but hip fracture patients were the main users of informal care after hospital discharge .
There was an increased risk of a subsequent fracture after a primary fracture compared with the control group , a cohort comparison , or the general population .
Osteoporotic fractures , especially hip fractures , are associated with higher mortality rate despite the advances in the management of osteoporotic fracture cases .
There is strong evidence to show that after hospital discharge , osteoporotic fracture patients are faced with higher morbidity , subsequent fractures , and mortality
PURPOSE Osteoporotic fracture is the main complication of osteoporosis .
The current management is to discharge patients as early as possible so they can get back to their daily activities .
Once discharged , there are three main issues relating to morbidity , mortality , and risk of a subsequent fracture that need to be addressed and discussed .
Therefore , the aim of this systematic review was to summarize and evaluate the evidence from published literature , to determine the outcome of osteoporotic fracture patients after their hospital discharge .