In the United States 4% of men and 19% of older women have sustained a hip fracture:
the clinical manifestation of osteoporosis. The rate of hip fractures among nursing
home residents is 2 times higher than community-dwelling older adults. Fewer than
half are treated with fracture prevention medications. The cost of treatment for hip
fractures is 665 million dollars per year, from nursing home residents alone. Hip
fractures are a large financial burden on the healthcare system and have a substantially
increased risk of major morbidity and mortality in adults, especially in nursing home
residents who may already have multi-morbidity. Approximately 50% of patients are
unable to regain their prior level of function after a hip fracture and there is a
1-year mortality of 24%. Appropriate treatment for osteoporosis can decrease the risk
of hip fracture. Short treatment durations are beneficial; 3 years of appropriate
pharmacologic therapy has been demonstrated to reduce risk of fracture by 50%, with
benefits seen as early as 1 year after initiation of treatment. Unfortunately, this
is often not done in nursing homes despite being a vulnerable population.
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© 2022 Published by Elsevier Inc.
