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Research Letter| Volume 21, ISSUE 2, P289-290, February 2020

A Higher Proportion of Home Care Recipients Experience Nonhip Fractures Than Long-Term Care Residents

Published:December 19, 2019DOI:https://doi.org/10.1016/j.jamda.2019.11.005
A Higher Proportion of Home Care Recipients Experience Nonhip Fractures Than Long-Term Care Residents
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      Fractures pose a significant burden to the health, quality of life, and mortality of older adults residing in long-term care (LTC)
      • Dyer S.M.
      • Crotty M.
      • Fairhall N.
      • et al.
      A critical review of the long-term disability outcomes following hip fracture.
      BMC Geriatr. 2016; 16: 158
      ,
      • Tarride J.-E.
      • Burke N.
      • Leslie W.D.
      • et al.
      Loss of health related quality of life following low-trauma fractures in the elderly.
      BMC Geriatr. 2016; 16: 84
      or receiving home care (HC) services.
      • Stolee P.
      • Poss J.
      • Cook R.J.
      • et al.
      Risk factors for hip fracture in older home care clients.
      J Gerontol A Biol Sci Med Sci. 2009; 64: 403-410
      The costs associated with fractures in Canada are $274 million and $1.03 billion in HC and LTC, respectively.
      • Hopkins R.B.
      • Burke N.
      • Von Keyserlingk C.
      • et al.
      The current economic burden of illness of osteoporosis in Canada.
      Osteoporos Int. 2016; 27: 3023-3032
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      References

        • Dyer S.M.
        • Crotty M.
        • Fairhall N.
        • et al.
        A critical review of the long-term disability outcomes following hip fracture.
        BMC Geriatr. 2016; 16: 158
        View in Article
        • Tarride J.-E.
        • Burke N.
        • Leslie W.D.
        • et al.
        Loss of health related quality of life following low-trauma fractures in the elderly.
        BMC Geriatr. 2016; 16: 84
        View in Article
        • Stolee P.
        • Poss J.
        • Cook R.J.
        • et al.
        Risk factors for hip fracture in older home care clients.
        J Gerontol A Biol Sci Med Sci. 2009; 64: 403-410
        View in Article
        • Hopkins R.B.
        • Burke N.
        • Von Keyserlingk C.
        • et al.
        The current economic burden of illness of osteoporosis in Canada.
        Osteoporos Int. 2016; 27: 3023-3032
        View in Article
        • Papaioannou A.
        • Kennedy C.C.
        • Ioannidis G.
        • et al.
        Comparative trends in incident fracture rates for all long-term care and community-dwelling seniors in Ontario, Canada, 2002-2012.
        Osteoporos Int. 2016; 27: 887-897
        View in Article
        • Fine J.P.
        • Gray R.J.
        A Proportional hazards model for the subdistribution of a competing risk.
        J Am Stat Assoc. 1999; 94: 496-509
        View in Article
        • Robinovitch S.N.
        • Cronin T.
        Perception of postural limits in elderly nursing home and day care participants.
        J Gerontol A Biol Sci Med Sci. 1999; 54 (discussion B131): B124-B130
        View in Article
        • Ioannidis G.
        • Flahive J.
        • Pickard L.
        • et al.
        Nonhip, nonspine fractures drive healthcare utilization following a fracture: The Global Longitudinal Study of Osteoporosis in Women (GLOW).
        Osteoporos Int. 2013; 24: 59-67
        View in Article

      Article info

      Publication history

      Published online: December 19, 2019

      Footnotes

      C.M. was supported by a Canadian Institutes of Health Research Fellowship.

      The authors declare no conflicts of interest.

      Identification

      DOI: https://doi.org/10.1016/j.jamda.2019.11.005

      Copyright

      © 2019 Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.

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