Featured Research

from universities, journals, and other organizations

Knowing a patient's history of falls will help doctors predict future fractures

Date:
November 26, 2012
Source:
University of Southampton
Summary:
Clinicians are being urged to ask about a patient's history of falls as new research shows that the information is valuable in determining their future risk of fracture.

Clinicians are being urged to ask about a patient's history of falls as new research shows that the information is valuable in determining their future risk of fracture.

Related Articles


The likelihood of an individual sustaining a fracture is determined by the strength of their bones and the forces applied to them. Bone strength is dependent on bone density: the lower the bone density the higher risk of fracture. However, a bone usually only breaks when it is subjected to trauma, which in the majority of cases results from a fall.

Fracture risk assessment tools, such as the FRAX® model, have been developed to allow clinicians to accurately assess the risk of fracture for a patient. The calculation can include information on known risk factors such as age, sex, smoking, alcohol, family history, and certain diseases, with or without bone density. However, not all risk assessment tools include data on whether the individual has previously fallen.

New data from the Hertfordshire Cohort, which is published in the journal Bone, have shown that when knowledge of fall history is used the clinician's ability to predict whether an individual will break a bone is further improved.

Dr Mark Edwards, Clinical Research Fellow at the MRC Lifecourse Epidemiology Unit, University of Southampton, who led the study, comments: "In a clinical setting, asking whether a patient has fallen is quick and easy. Nearly 60 per cent of all hospital admissions due to fractures in England are the result of a fall. Fracture prediction is extremely important to allow us to target treatments to those at greatest risk: assessing falls history provides us a further tool with which to do so."

During the study the participants' risk factors, including age, sex, height, weight, family history, smoking, alcohol, rheumatoid arthritis, and whether they had a previous fracture or fall, were assessed along with bone density. At follow up each individual was asked whether they had suffered a new fracture.

The investigators found that using risk factors, similar to those in the FRAX® model, showed a good level of fracture prediction. As expected, the addition of bone density further improved accuracy. However, when fall history was also added in, the model was augmented further especially in men in whom predictive capacity increased by six per cent. Furthermore, in over 80 per cent of men that had not fallen and did not subsequently fracture, the addition of this variable to the model correctly reduced their predicted fracture risk.

Professor Cyrus Cooper, Director of the MRC Lifecourse Epidemiology Unit, University of Southampton, adds: "This research illustrates the importance of well-characterised population cohorts such as the Hertfordshire Cohort Study to clinical decision making. The enhanced fracture risk prediction facilitated through use of our findings will help reduce the ever-growing burden of fractures in the elderly."


Story Source:

The above story is based on materials provided by University of Southampton. Note: Materials may be edited for content and length.


Cite This Page:

University of Southampton. "Knowing a patient's history of falls will help doctors predict future fractures." ScienceDaily. ScienceDaily, 26 November 2012. <www.sciencedaily.com/releases/2012/11/121126111050.htm>.
University of Southampton. (2012, November 26). Knowing a patient's history of falls will help doctors predict future fractures. ScienceDaily. Retrieved October 25, 2014 from www.sciencedaily.com/releases/2012/11/121126111050.htm
University of Southampton. "Knowing a patient's history of falls will help doctors predict future fractures." ScienceDaily. www.sciencedaily.com/releases/2012/11/121126111050.htm (accessed October 25, 2014).

Share This



More Health & Medicine News

Saturday, October 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Nurse Nina Pham Cured of Ebola

Texas Nurse Nina Pham Cured of Ebola

AFP (Oct. 25, 2014) — An American nurse who contracted Ebola while caring for a Liberian patient in Texas has been declared free of the virus and will leave the hospital. Duration: 01:01 Video provided by AFP
Powered by NewsLook.com
IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) — IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) — A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com
WHO: Millions of Ebola Vaccine Doses by 2015

WHO: Millions of Ebola Vaccine Doses by 2015

AP (Oct. 24, 2014) — The World Health Organization said on Friday that millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines would start being tested in March. (Oct. 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins