Predicting osteoporosis in patients with a low-energy fracture.
The multicenter cross-sectional study was designed to develop a simple rule to predict the risk of osteoporosis in the patients with a low-energy fracture (LEF). Furthermore, we aimed to investigate the incidence of fall-related risk factors. We included 206 patients with age over 50 and an LEF at the emergency room. All patients underwent osteoporosis and fall risk assessment and dual-energy X-ray absorptiometry (DEXA) of both hips and the lumbar spine. The incidence of osteoporosis in our study population was 41% (84 cases of 206). Fifty-four percent of the patients reported at least one fall-related risk factor. Mobility problems occurred in 31% and osteoarthritis in 19%. The final osteoporosis prediction rule included age, positive family history, immobility, and low-body weight. The discrimination of the rule after correction for over-optimism was good (receiver operating curve (ROC)=ROC area=0.79). This simple rule may be helpful to select patients who need further osteoporosis assessment.
Department of Geriatric Medicine, University Medical Center Utrecht, Heidelberglaan 100, P.O. Box 85.500 (room B05.256), 3508 GA Utrecht, The Netherlands.
Monique H M
MH
Timmer
Monique M
MM
Samson
Evelyn M
EM
Monninkhof
Ben
B
De Ree
Harald J J
HJ
Verhaar
D000058:Accidental Falls / Q000706:statistics & numerical data; D000368:Aged; D015519:Bone Density; D003430:Cross-Sectional Studies; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology*; D006801:Humans; D008297:Male; D010024:Osteoporosis / Q000175:diagnosis* / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires