Table of Contents Author Guidelines Submit a Manuscript
Journal of Aging Research
Volume 2010, Article ID 291258, 5 pages
http://dx.doi.org/10.4061/2010/291258
Research Article

Hip Fractures in Long-Term Care: Is the Excess Explained by the Age and Gender Distribution of the Residents?

1Division of Geriatric Medicine, Parkwood Hospital, 801 Commissioners Road East, London, ON, Canada N6C 5J1
2Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada N6A 5B9
3School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada N6A 5B9
4School of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada N6A 5B9

Received 15 January 2010; Revised 30 May 2010; Accepted 21 June 2010

Academic Editor: Gustavo Duque

Copyright © 2010 Richard G. Crilly et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. This study compares hip fracture rates in Long Term Care (LTC) residents with those in the community to determine if their high rate of fracturing reflects the extreme age and predominantly female nature of that population. Methods. Hospital discharge data in London Ontario (population 350,000) and Statistics Canada data were used to correct the hip fracture rate in the LTC setting for age and gender. Results. The risk of hip fracture is 1.8 times greater in LTC than in the community for people of similar age and gender. The rate in women is 1.5 times higher whereas in men it is 4.3 times higher. In the oldest residents, the risk in men exceeds that of women in LTC. Conclusion. The high hip fracture rate in LTC is not just a reflection of the age and predominantly female nature of this population. The oldest men in LTC are a particularly high risk group, deserving more attention.