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Colegio de Medicina Interna de México.

2020, Number 3

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Med Int Mex 2020; 36 (3)

Relation between frailty and hip fracture risk by FRAX® in Mexican elderly

Viveros-García JC, Rivera-Chávez JG, Regalado-Villalobos A, Luna-Torres S, Moreno-Cervantes CA, Torres-Gutiérrez JL

Language: Spanish
References: 30
Page: 285-291
PDF size: 198.32 Kb.


ABSTRACT

Background: Hip fracture is the most serious consequence of osteoporosis, and many patient who suffer from hip fracture are also frail. The risk prediction tools are useful and validated in Mexico. Among them, FRAX® is the most used and it does not include frailty.
Objective: To determine if there is difference in hip fracture risk calculated by FRAX® between frail and non-frail elder patients.
Material and Method: A prospective, observational and descriptive study was done from May and December 2018, including patients 60 years and older with osteopenia and osteoporosis. We measured socio-demographical variables, comorbidity, densitometric results and hip fracture risk by FRAX®.
Results: We included 221 patients with a mean age of 77 years, mostly women. There were no statistical difference between hip fracture risk among frail and nonfrail patients.
Conclusions: Frailty should be considered in the decision making model for hip fracture risk; predictive tools may underestimate the risk in frail patients.


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