title: Characteristics of falls producing hip fracture in patients on oral anticoagulants.
abstract: OBJECTIVE
  To analyze the demographic and clinical characteristics of patients on chronic anticoagulant therapy (CAT) admitted because of a hip fracture secondary to a fall, and to compare with patients not receiving CAT.
  
  
  METHODS
  A prospective, observational study realized in six hospitals in the Barcelona area. Demographic and clinical characteristics of patients were collected. The index fall characteristics - cause, height, location, and time of occurrence - were evaluated.
  
  
  RESULTS
  Of the 1225 patients included, 99 (8%) patients were on CAT. When we compare with the rest logistic regression analysis showed that patients receiving CAT were more likely to be male (odds ratio 3.7), not institutionalized (odds ratio 3.5), to take more number of drugs (odds ratio 1.3), to have dementia (odds ratio 2.1) and stroke (odds ratio 1.7). Results revealed a higher prevalence of combined factors as the cause of the index fall in the group of patients on anticoagulants.
  
  
  CONCLUSIONS
  Characteristics of falls were very similar when comparing the group of patients receiving CAT with those who did not. A prior history of falls should lead physicians to take actions for preventing falls causing hip fracture, in all patients and particularly in these on CAT.
authors.affiliation: a Geriatric Unit, Internal Medicine Department , Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat , Barcelona , Spain.
authors.forename: Francesc
authors.initials: F
authors.lastname: Formiga
authors.affiliation: a Geriatric Unit, Internal Medicine Department , Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat , Barcelona , Spain.
authors.forename: David
authors.initials: D
authors.lastname: Chivite
authors.affiliation: b Geriatric Unit, Internal Medicine Department , Hospital Clínic de Barcelona, IDIBAPS , Barcelona , Spain.
authors.forename: Margarita
authors.initials: M
authors.lastname: Navarro
authors.affiliation: a Geriatric Unit, Internal Medicine Department , Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat , Barcelona , Spain.
authors.forename: Abelardo
authors.initials: A
authors.lastname: Montero
authors.affiliation: c Geriatric Service , Hospital d'Igualada, Consorci Santiàri de l'Anoia , Barcelona , Spain.
authors.forename: Enric
authors.initials: E
authors.lastname: Duaso
authors.affiliation: d Geriatric Unit, Internal Medicine Service , Hospital de Sant Pau , Barcelona , Spain.
authors.forename: Domingo
authors.initials: D
authors.lastname: Ruiz
authors.affiliation: e Geriatric Unit , Hospital Sociosanitari Isabel Roig (Centres Blauclinic) , Barcelona , Spain.
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Perez-Castejon
authors.affiliation: b Geriatric Unit, Internal Medicine Department , Hospital Clínic de Barcelona, IDIBAPS , Barcelona , Spain.
authors.forename: Alfons
authors.initials: A
authors.lastname: Lopez-Soto
authors.affiliation: a Geriatric Unit, Internal Medicine Department , Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat , Barcelona , Spain.|f Faculty of Medicine and Health Sciences, Albert Jovell Institute for Public Health and Patients , Universitat Internacional de Catalunya , Barcelona , Spain.
authors.forename: Xavier
authors.initials: X
authors.lastname: Corbella
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use; D003704:Dementia; D005260:Female; D006620:Hip Fractures / Q000453:epidemiology*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors
chemical_list: D000925:Anticoagulants
keywords: Elderly; Fall; Hip fracture; Oral anticoagulants