Nearly two-thirds of American osteoporotic hip fractures are seen in the extreme elderly

June 7, 2012

A new American study presented today at EULAR 2012, the Annual Congress of the European League Against Rheumatism, calls for more aggressive management of osteoporosis in the extreme elderly as the true impact of osteoporotic hip fractures in those aged 80 years or older is unveiled.

Via the Nationwide Inpatient Sample (NIS), 4.3 million patients over the age of 65 with osteoporotic hip fractures were studied. Results showed that 67.3% of hip fractures occurred in the extreme elderly, increasing from 172,209 in 1993 to 180,428 in 2008. This growth was despite the fact that prevalence decreased from 2,236 to 1,600 per 1,000 person-years in the same period, but is coincident with the dramatic rise in the extreme elderly population, from 7.7 million in 1993 to 11.2 million in 2008.

In addition, in 2008, the extreme elderly made up 42.3% of the , but accounted for 69% of hospitalisations. "We know that hip fracture in the extreme elderly is a serious problem due to the associated consequences of hospitalisation, disability and mortality," commented Ms. Amrita Sehgal from University of California, USA and lead study author. "This data is cause for concern as the impact highlighted will only increase along with this population segment. The question now is how we manage the extreme elderly more effectively to limit the impact that have going forward."

With the extreme elderly predicted to comprise 25% of the total US population by 2050, this study calls for more aggressive measures to be introduced to enable osteoporosis to be more effectively prevented, diagnosed and treated. The study recommends that this should be via traditional methods, e.g. , or more holistically via non-traditional settings and providers, like assisted living facilities.

Explore further: Undiagnosed neurological disorders may cause falls and hip fractures in the elderly

More information: Abstract Number: OP0043

Related Stories

Undiagnosed neurological disorders may cause falls and hip fractures in the elderly

February 9, 2012
Hip fractures are a common cause of morbidity and mortality in elderly patients. Cervical myelopathy is a common neurological condition that can diminish balance and coordination.

Changing trends in hip fracture incidence around the world

April 12, 2011
Osteoporosis constitutes a major public health problem through its association with age-related fractures, most notably those of the hip. As life expectancy rises around the world, along with the number of elderly people ...

Recommended for you

Study shows prevalence of knee osteoarthritis has doubled since World War II

August 14, 2017
The average American today is twice as likely to be diagnosed with knee osteoarthritis than in the years before World War II, Harvard scientists say, but that increase can't be blamed on the reasons most might think.

Researchers find arthritis drug could treat blood cancer patients

August 3, 2017
Blood cancer sufferers could be treated with a simple arthritis drug, scientists at the University of Sheffield have discovered.

Fluid in the knee holds clues for why osteoarthritis is more common in females

June 26, 2017
Researchers have more evidence that males and females are different, this time in the fluid that helps protect the cartilage in their knee joints.

Biologics before triple therapy not cost effective for rheumatoid arthritis

May 29, 2017
Stepping up to biologic therapy when methotrexate monotherapy fails offers minimal incremental benefit over using a combination of drugs known as triple therapy, yet incurs large costs for treating rheumatoid arthritis (RA). ...

Drug for refractory psoriatic arthritis shows promise in clinical trial

May 24, 2017
In a pivotal phase-3 clinical trial led by a Stanford University School of Medicine investigator, patients with psoriatic arthritis for whom standard-of-care pharmaceutical treatments have provided no lasting relief experienced ...

Cross-species links identified for osteoarthritis

May 17, 2017
New research from the University of Liverpool, published today in the journal npj Systems Biology and Applications, has identified 'cell messages' that could help identify the early stages of osteoarthritis (OA).

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.