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Prevalence of vertebral fracture in oldest old nursing home residents.
Osteoporos Int 2012; 23(11):2601-6OI

Abstract

We evaluated vertebral fracture prevalence using DXA-based vertebral fracture assessment and its influence on the Fracture Risk Assessment (FRAX) tool-determined 10-year fracture probability in a cohort of oldest old nursing home residents. More than one third of the subjects had prevalent vertebral fracture and 50% osteoporosis. Probably in relation with the prevailing influence of age and medical history of fracture, adding these information into FRAX did not markedly modify fracture probability.

INTRODUCTION

Oldest old nursing home residents are at very high risk of fracture. The prevalence of vertebral fracture in this specific population and its influence on fracture probability using the FRAX tool are not known.

METHODS

Using a mobile DXA osteodensitometer, we studied the prevalence of vertebral fracture, as assessed by vertebral fracture assessment program, of osteoporosis and of sarcopenia in 151 nursing home residents. Ten-year fracture probability was calculated using appropriately calibrated FRAX tool.

RESULTS

Vertebral fractures were detected in 36% of oldest old nursing home residents (mean age, 85.9 ± 0.6 years). The prevalence of osteoporosis and sarcopenia was 52% and 22%, respectively. Ten-year fracture probability as assessed by FRAX tool was 27% and 15% for major fracture and hip fracture, respectively. Adding BMD or VFA values did not significantly modify it.

CONCLUSION

In oldest old nursing home residents, osteoporosis and vertebral fracture were frequently detected. Ten-year fracture probability appeared to be mainly determined by age and clinical risk factors obtained by medical history, rather than by BMD or vertebral fracture.

Authors+Show Affiliations

Division of Bone Diseases, Department of Medical Specialties, Geneva University Hospitals and Faculty of Medicine, CH–1211 Geneva 14, Switzerland.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

22302103

Citation

Rodondi, A, et al. "Prevalence of Vertebral Fracture in Oldest Old Nursing Home Residents." Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, vol. 23, no. 11, 2012, pp. 2601-6.
Rodondi A, Chevalley T, Rizzoli R. Prevalence of vertebral fracture in oldest old nursing home residents. Osteoporos Int. 2012;23(11):2601-6.
Rodondi, A., Chevalley, T., & Rizzoli, R. (2012). Prevalence of vertebral fracture in oldest old nursing home residents. Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 23(11), pp. 2601-6.
Rodondi A, Chevalley T, Rizzoli R. Prevalence of Vertebral Fracture in Oldest Old Nursing Home Residents. Osteoporos Int. 2012;23(11):2601-6. PubMed PMID: 22302103.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of vertebral fracture in oldest old nursing home residents. AU - Rodondi,A, AU - Chevalley,T, AU - Rizzoli,R, PY - 2011/09/15/received PY - 2011/11/08/accepted PY - 2012/2/4/entrez PY - 2012/2/4/pubmed PY - 2013/6/12/medline SP - 2601 EP - 6 JF - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA JO - Osteoporos Int VL - 23 IS - 11 N2 - UNLABELLED: We evaluated vertebral fracture prevalence using DXA-based vertebral fracture assessment and its influence on the Fracture Risk Assessment (FRAX) tool-determined 10-year fracture probability in a cohort of oldest old nursing home residents. More than one third of the subjects had prevalent vertebral fracture and 50% osteoporosis. Probably in relation with the prevailing influence of age and medical history of fracture, adding these information into FRAX did not markedly modify fracture probability. INTRODUCTION: Oldest old nursing home residents are at very high risk of fracture. The prevalence of vertebral fracture in this specific population and its influence on fracture probability using the FRAX tool are not known. METHODS: Using a mobile DXA osteodensitometer, we studied the prevalence of vertebral fracture, as assessed by vertebral fracture assessment program, of osteoporosis and of sarcopenia in 151 nursing home residents. Ten-year fracture probability was calculated using appropriately calibrated FRAX tool. RESULTS: Vertebral fractures were detected in 36% of oldest old nursing home residents (mean age, 85.9 ± 0.6 years). The prevalence of osteoporosis and sarcopenia was 52% and 22%, respectively. Ten-year fracture probability as assessed by FRAX tool was 27% and 15% for major fracture and hip fracture, respectively. Adding BMD or VFA values did not significantly modify it. CONCLUSION: In oldest old nursing home residents, osteoporosis and vertebral fracture were frequently detected. Ten-year fracture probability appeared to be mainly determined by age and clinical risk factors obtained by medical history, rather than by BMD or vertebral fracture. SN - 1433-2965 UR - https://www.unboundmedicine.com/medline/citation/22302103/Prevalence_of_vertebral_fracture_in_oldest_old_nursing_home_residents L2 - https://dx.doi.org/10.1007/s00198-012-1900-6 DB - PRIME DP - Unbound Medicine ER -