Hip Fractures Can Be Especially Deadly In First Year

Multiple osteoporotic wedge fractures demonstrated on a lateral thoraco-lumbar spine X-ray.

Women age 65 or older who suffer a hip fracture are much more likely to die from any cause in the following year than those who avoided the injury, a new study says.

Researchers have already established that the many hip fractures occurring in postmenopausal women with the bone-thinning disease osteoporosis increase the risk of death, but they haven't been able to rule out the possibility that women who fracture a hip are already at greater risk before their injury, according to CNN.

The new study, which compared age-matched women with and without fractures, is the first to suggest a possible cause-and-effect relationship between hip fracture and death, says lead author Erin LeBlanc, M.D., a researcher at Kaiser Permanente Northwest, the large nonprofit health plan in Portland, Oregon, that funded the study, CNN reports.

LeBlanc and her colleagues tracked women in four states across the country between 1986 and 2005, as part of a larger study funded by the National Institutes of Health, according to CNN. From this pool of study participants, the researchers matched each of the 1,116 women who'd had hip fractures with four women of the same age who had not.

Overall, women who suffered a hip fracture had twice the odds of dying within one year of their injury than did their counterparts in the control group during the same year, CNN reports. Seventeen percent of the women who experienced a fracture died during the year, versus eight percent in the control group.

"Before we might have assumed that sicker women are just more likely to get hip fractures," she says, as reported by CNN. "But now we know that there is something about the hip fracture itself, and not an underlying condition, that is bringing on this increased risk of death." Fractures appeared to be most dangerous in the youngest segment of study participants: For women 65 to 69, hip fracture quintupled the odds of death within one year, according to CNN. This was also the only age group in which the odds of death remained higher in the fracture group after the one-year mark. "Many people assume that this increased mortality mostly applies to the very old," said Silvina Levis, M.D., director of the osteoporosis center at the University of Miami Miller School of Medicine, as reported by CNN. "But having seen this result, I think younger women are the ones who should be very much aware and should talk to their doctors about ways of assessing risk." All postmenopausal women should include a lot of bone-strengthening calcium and vitamin D in their diet, avoid smoking and excessive alcohol intake, and assess their homes for hazards that could cause slips and falls, LeBlanc tells CNN. "Thinning of the bones is silent," she says, as reported by CNN. "It doesn't hurt, and if you're not proactive you might not know you have it until you break something."
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