(Ivanhoe Newswire) -- Older men and women who suffer a broken bone
are at higher risk of dying over the next five to ten years, and among those
who have a second fracture, the risk period is even longer.
Australian researchers arrived at those conclusions after studying mortality
rates and bone fractures in more than 2,200 women and 1,700 men age 60 and
older who lived in one community. The increased risk of death was seen
across all age groups in those who experienced hip, vertebral, and major
fractures. More minor fractures upped the death risk for people age 75 and
older.
People who had hip fractures continued to have higher death rates for ten
years, while the risk of death began to decline to usual levels for those
with other types of fractures after five years. Mortality rates evened out
for all the people who experienced fractures ten years post-fracture.
However a second fracture meant another five years of elevated risk.
The researchers were especially interested by the finding showing nonhip, no
vertebral fractures accounted for nearly 50 percent of the fractures in the
study and nearly 29 percent of the increased risk of death. They note most
studies looking at fracture risk in the elderly take only hip and vertebral
fractures into account.
The fact that both men and women suffered an increased risk of death due to
fractures is also worth noting and probably warrants further investigation.
“These data suggest fracture is a signal event that heralds an increased
mortality risk: whether it is related to an underlying increased risk for
both fracture and mortality, which may be the case for women, or whether it
is related to some aspect of the fracture event itself, as appears to be the
case for men, needs further exploration,” conclude the investigators.
SOURCE: Journal of the American Medical Association, published online
February 3, 2009