Predictors of mortality following osteoporotic hip fractures. Mortality rates are highest during the firsr 6 months immediately after the fracture; lower, but still greater than in the general population, for up to 12 months post-fracture (25, 26, 34–36, 43–45); and appear to decrease with time thereafter.
Does osteoporosis increase mortality?
The 5-year probability of mortality was 24.9% among women with osteoporosis and 19.4% among women without osteoporosis. More comorbidities and poorer prognosis were associated with increasing probability of mortality for both groups of women.
Which type of fracture is associated with the greatest increase in morbidity and mortality?
Osteoporotic fracture patients are exposed to various adverse outcomes in terms of morbidity, subsequent fractures, and mortality after hospital discharge. Patients with an osteoporotic fracture suffer from high morbidity, increased risk of another fracture, and a high risk of mortality after hospital discharge.
Who osteoporosis fracture risk?
The National Osteoporosis Foundation (NOF) recommends osteoporosis treatment in patients with low bone mass in whom a US-adapted WHO 10-year probability of a hip fracture is 3% or more or in whom the risk for a major osteoporosis-related fracture is 20% or more.
Which specific person is most at risk for a fractured hip due to osteoporosis?
Women are more prone to osteoporosis than men; therefore, hip fracture is more common among women. More than 1.5 million Americans have fractures each year because of osteoporosis.
What is the mortality rate of osteoporosis?
At 5 years, the mortality rates were 48.2% in men treated for osteoporosis and 24.6% in controls and 28.3% in women with osteoporosis and 31.9% in controls. The mortality rate at 10 years was 69.7% in men (45.4% in controls) and 50.2% in women (50.8% in controls).
What is the last stage of osteoporosis?
Osteopenia is when your bones are weaker than normal but not so far gone that they break easily, which is the hallmark of osteoporosis. Your bones are usually at their densest when you’re about 30. Osteopenia, if it happens at all, usually occurs after age 50.
What accounts for more than half of the total direct costs for osteoporotic fractures?
The direct costs of osteoporotic fractures are typically borne by society, primarily through Medicare and Medicaid. Among women over age 45, the government pays for most of the costs of osteoporotic fractures: Medicaid covers almost a fourth of the expense and Medicare pays nearly half (Hoerger et al. 1999).
What percentage of the population has osteoporosis?
The National Health and Nutrition Examination Survey (NHANES) revealed that only 1 percent of men and 11 percent of women age 65 and older reported that they had osteoporosis; testing at the hip showed that four times as many men (4 percent) and 2.5 times as many women (26 percent) actually had the disease (Table 4-2).
What is the most common drug used to treat osteoporosis?
For both men and women at increased risk of fracture, the most widely prescribed osteoporosis medications are bisphosphonates. Examples include: Alendronate (Binosto, Fosamax) Ibandronate (Boniva)
What is the T score for severe osteoporosis?
A T-score of −2.5 or lower indicates that you have osteoporosis. The greater the negative number, the more severe the osteoporosis.
|Osteoporosis||Bone density is 2.5 SD or more below the young adult mean (−2.5 SD or lower).|
What is considered a high risk for fracture?
Patients with a single fracture are considered to be potentially high risk if they have additional major risk factors (e.g. frequent falls [more than 3 per year]), are elderly, or have a very low bone mass, among other factors. Very low bone mass (T score lower than −3 or −3.5).
Which condition is the biggest risk factor for hip fracture?
Osteoporosis is the leading cause of hip fracture. Age is also a major risk factor. Other possible risk factors for hip fracture may include, but are not limited to, the following: Excessive alcohol and caffeine consumption.