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Circumstances of falls resulting in hip fractures among older people
Author(s)Robyn Norton, A John Campbell, Trevor Lee-Joe
Journal titleJournal of the American Geriatrics Society, vol 45, no 9, September 1997
Pagespp 1108-1112
KeywordsFalls ; Fractures ; Cross sectional surveys ; New Zealand.
AnnotationThis cross-sectional survey of 911 people aged 60 and over with fracture of the proximal femur in two hospitals in Auckland, New Zealand, aimed to determine whether circumstances of hip fracture differ by gender, age, and residential status. 77% were women, 66% aged 80 and over, and 58% were living in private homes at the time of fracture. 96% of fractures were associated with a fall, with fewer than 2% of subjects reporting that their fracture occurred spontaneously before a fall. 16% of fractures were associated with an acute medical or physical condition. Although 85% of the fractures involving a fall occurred at home, only about 25% of these were associated with an environmental hazard, and only a proportion of these were likely to have been amenable to modification. The circumstances of falls differed significantly by age and residential status. Strategies aimed at preventing fall-related hip fractures among the old old and among institutionalised individuals should focus primarily on the modification of intrinsic factors. Modification of environmental hazards has the greatest potential for prevention among the young old and those living in private homes. (RH).
Accession NumberCPA-981127208 A
ClassmarkOLF: CUF: 3KB: 7YN

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