Ten-Year Risk of Osteoporotic Fractures in Postmenopausal Chinese Women According to Clinical Risk Factors and BMD T-Scores: A Prospective Study

Abstract Background To investigate the clinical risk factors of patients with osteoporotic fracture and re-fracture. Methods A total of 96 patients with osteoporotic fractures and re-fractures who were treated in the relevant department of our hospital from January 2017 to December 2018 were selected as the research objects. By comparing the basic clinical situation of these two groups Analysis to explore the main risk factors after refracture. Results Through statistical analysis of clinical data, it was found that gender, age, the time from lying down to standing, and the bone mineral density T value were all clinical risk factors for refracture. Women who lie prolonged to stand have a higher risk of re-fracture. Conclusions The risk factors of re-fracture after treatment in elderly patients with osteoporotic fractures are many and complex. Early investigation and targeted preventive measures can be of great significance to reduce the incidence of re-fractures.

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Does the Prediction Accuracy of Osteoporotic Fractures by BMD and Clinical Risk Factors Vary With Fracture Site?

JBMR Plus ◽

10.1002/jbm4.10238 ◽

2019 ◽

Vol 3 (12) ◽

Cited By ~ 4

Author(s):

L Iconaru ◽

M Moreau ◽

V Kinnard ◽

F Baleanu ◽

M Paesmans ◽

...

Keyword(s):

Risk Factors ◽

Prediction Accuracy ◽

Osteoporotic Fractures ◽

Fracture Site ◽

Clinical Risk Factors ◽

Clinical Risk

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Evaluation of fracture risk in osteoporosis

Orvosi Hetilap ◽

10.1556/oh.2011.29191 ◽

2011 ◽

Vol 152 (33) ◽

pp. 1304-1311 ◽

Cited By ~ 2

Author(s):

Miklós Szathmári

Keyword(s):

Risk Factors ◽

Fracture Risk ◽

Absolute Risk ◽

Treatment Options ◽

Osteoporotic Fractures ◽

Clinical Risk Factors ◽

Mineral Density ◽

High Fracture ◽

Parental History ◽

Clinical Risk

Osteoporotic fractures are associated with excess mortality. Effective treatment options are available, which reduce the risk of vertebral and non-vertebral fractures, but the identification of patients with high fracture risk is problematic. Low bone mineral density (BMD) – the basis for the diagnosis of osteoporosis – is an important, but not the only determinant of fracture risk. Several clinical risk factors are know that operate partially or completely independently of BMD, and affect the fracture risk. These include age, a prior fragility fracture, a parental history of hip fracture, use of corticosteroids, excess alcohol intake, rheumatoid arthritis, and different types of diseases which can cause secondary bone loss. The FRAX® tool integrates the weight of above mentioned clinical risk factors for fracture risk assessment with or without BMD value, and calculates the 10-year absolute risk of hip and major osteoporotic (hip, vertebral, humerus and forearm together) fracture probabilities. Although the use of data is not yet uniform, the FRAX® is a promising opportunity to identify individuals with high fracture risk. The accumulation of experience with FRAX® is going on and it can modify current diagnostic and therapeutic recommendations in Hungary as well. Orv. Hetil., 2011, 152, 1304–1311.

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