Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2014 Jan;25(1):167-76.
doi: 10.1007/s00198-013-2513-4. Epub 2013 Oct 18.

Gender-specific hip fracture risk in community-dwelling and institutionalized seniors age 65 years and older

M Finsterwald  1 , E Sidelnikov, E J Orav, B Dawson-Hughes, R Theiler, A Egli, A Platz, H P Simmen, C Meier, D Grob, S Beck, H B Stähelin, H A Bischoff-Ferrari
Affiliations
Free article
Multicenter Study

Gender-specific hip fracture risk in community-dwelling and institutionalized seniors age 65 years and older

M Finsterwald et al. Osteoporos Int. 2014 Jan.
Free article

Abstract

In this study of acute hip fracture patients, we show that hip fracture rates differ by gender between community-dwelling seniors and seniors residing in nursing homes. While women have a significantly higher rate of hip fracture among the community-dwelling seniors, men have a significantly higher rate among nursing home residents.

Introduction: Differences in gender-specific hip fracture risk between community-dwelling and institutionalized seniors have not been well established, and seasonality of hip fracture risk has been controversial.

Methods: We analyzed detailed data from 1,084 hip fracture patients age 65 years and older admitted to one large hospital center in Zurich, Switzerland. In a sensitivity analysis, we extend to de-personalized data from 1,265 hip fracture patients from the other two large hospital centers in Zurich within the same time frame (total n = 2,349). The denominators were person-times accumulated by the Zurich population in the corresponding age/gender/type of dwelling stratum in each calendar season for the period of the study.

Results: In the primary analysis of 1,084 hip fracture patients (mean age 85.1 years; 78% women): Among community-dwelling seniors, the risk of hip fracture was twofold higher among women compared with men (RR = 2.16; 95% CI, 1.74-2.69) independent of age, season, number of comorbidities, and cognitive function; among institutionalized seniors, the risk of hip fracture was 26% lower among women compared with men (RR = 0.77; 95% CI: 0.63-0.95) adjusting for the same confounders. In the sensitivity analysis of 2,349 hip fracture patients (mean age 85.0 years, 76% women), this pattern remained largely unchanged. There is no seasonal swing in hip fracture incidence.

Conclusion: We confirm for seniors living in the community that women have a higher risk of hip fracture than men. However, among institutionalized seniors, men are at higher risk for hip fracture.

PubMed Disclaimer

References

    1. Aust J Public Health. 1995 Feb;19(1):76-80 - PubMed
    1. Injury. 2000 Jan;31(1):11-9 - PubMed
    1. Age Ageing. 1996 Sep;25(5):381-5 - PubMed
    1. Bone. 1996 Jan;18(1 Suppl):57S-63S - PubMed
    1. Rev Endocr Metab Disord. 2012 Mar;13(1):71-7 - PubMed

Publication types

LinkOut - more resources