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Schober H.-C.,Aus der Klinik fur Innere Medizin i | Bassgen K.,Aus der Klinik fur Innere Medizin i | Rattey V.,Aus der Klinik fur Innere Medizin i | Radmer S.,Aus der Klinik fur Innere Medizin i | And 4 more authors.
Journal fur Mineralstoffwechsel | Year: 2013

Purpose: The aim of the present study was to prospectively register 4 types of fractures in an urban population. Treatment procedures, the length of hospital stay, the type of discharge, and potential complications were recorded. Methods: An urban population of 200,413 residents was investigated prospectively in regard of osteoporosis-associated fractures over a period of 12 months. All fractures were recorded and confirmed on radiographs. Results: A total of 979 fractures occurred during the period of investigation. The most common type was distal radius fracture (395; 197.1 per 100,000). Significant increases in fracture rates of women were noted after the age of 50 years. There was a significant increase in the frequency of femoral and humerus fractures from the age of 75 years. The most common complications after treatment of proximal femoral fractures were anaemia requiring transfusion (women 47.6 %; men 26.6 %), urinary tract infection (9.7 % of women; 1.6 % of men), and pneumonia (4.1 % of women; 10.9 % of men). Men are more likely to suffer from surgical complications. Conclusions: Radius fractures might act as sentinel fractures. The high frequency of fractures in the age group older than 75 with a growing number of complications is of paramount importance. This age group, which is prone to frailty, must be given special attention.

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