Indian Journal of Endocrinology and Metabolism

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 23  |  Issue : 3  |  Page : 282--288

Predictors and outcome of fragility hip fracture: A prospective study from North India


Deba Prasad Dhibar1, Yashpal Gogate2, Sameer Aggarwal3, Sudhir Garg4, Anil Bhansali2, Sanjay Kumar Bhadada2 
1 Department of Internal Medicine, PGIMER, Chandigarh, India
2 Department of Endocrinology, PGIMER, Chandigarh, India
3 Department of Orthopaedics, PGIMER, Chandigarh, India
4 Department of Orthopaedics, GMCH, Chandigarh, India

Correspondence Address:
Sanjay Kumar Bhadada
Department of Endocrinology, F-Block, Nehru Hospital, PGIMER, Chandigarh - 160 012
India

Introduction: Fragility hip fracture is a useful surrogate marker of the burden of osteoporosis. With improving life expectancy and progressive ageing of population, the global burden of osteoporotic fracture is increasing. Despite this, there is paucity of data regarding epidemiology, predictors, and outcomes of fragility hip fractures in the Indian population. Methods: In this multicenter, prospective observational study, 264 patients of fragility hip fracture were followed up for 12 months. Results: Men (46.2%) and women (53.8%) had a nearly equal distribution of fragility hip fracture. Mean (±SD) age of study population was 65.9 ± 12.6 years and men had earlier age (64.7 ± 12.6 years) of fracture as compared to women (66.9 ± 12.6 years). Out of these, 89.7% patients had osteoporosis, 7.6% had osteopenia, and 2.7% patients had normal bone mineral density (BMD). Fractures predominantly occurred inside the home (229, 86.7%) as compared to outside (35, 13.3%). Female gender, hypertension, diabetes, anemia, smoking, and alcohol were associated with lower BMD, but not a predictor of morbidity. Aging (P = 0.000), osteoporosis (P = 0.012), and diabetes (P = 0.008) were predictors of increased mortality. A total of 243 (92%) patients underwent surgery with a mean hospital stay of 13.5 ± 2.9 days and 34 (12.9%) patients died. Maximum death (73.5%) occurred in first 3 months and the commonest cause of death was cardiovascular (44.1%) related. Conclusion: The majority of fragility hip fractures occurred inside the home. Distribution of fractures in either gender is comparable. Aging, osteoporosis, and diabetes are predictors of poor outcome. We recommend development of newer strategies that target male as well as female patients with osteoporosis with particular attention to prevent in-house falls and fractures.


How to cite this article:
Dhibar DP, Gogate Y, Aggarwal S, Garg S, Bhansali A, Bhadada SK. Predictors and outcome of fragility hip fracture: A prospective study from North India.Indian J Endocr Metab 2019;23:282-288


How to cite this URL:
Dhibar DP, Gogate Y, Aggarwal S, Garg S, Bhansali A, Bhadada SK. Predictors and outcome of fragility hip fracture: A prospective study from North India. Indian J Endocr Metab [serial online] 2019 [cited 2019 Aug 21 ];23:282-288
Available from: http://www.ijem.in/article.asp?issn=2230-8210;year=2019;volume=23;issue=3;spage=282;epage=288;aulast=Dhibar;type=0