Assessment of fracture risk tools in care home residents: a multi-centre observational pilot study
Authors: Ihama, F., Pandyan, A. and Roffe, C.
Journal: European Geriatric Medicine
Volume: 12
Issue: 1
Pages: 79-89
eISSN: 1878-7657
ISSN: 1878-7649
DOI: 10.1007/s41999-020-00383-2
Abstract:Background: Fragility fractures are common in care home residents but established tools have not been tested in this population. Aim:To identify the most practicable tool for use. Methods: Design: Multicentre prospective observational cohort pilot study. Setting: 18 care homes in Boston, UK. Assessments: fragility risk score at baseline with FRAX, QFractureScore, Garvan nomogram, body mass index and TUGT for each participant. Outcomes: falls, fractures, combined falls & fractures. Follow-up; 12 months. Results: 217/618 (35%) residents in the 18 care homes were enrolled. 147 (68%) had mental capacity,70 (32%) did not. There were 325 falls and 10 fractures in participants during the study. At the same time there were 1671 falls and 103 fractures in residents not participating in the study. Multiple regression analyses showed that only age had a statistically significant association with falls (χ 2(1) = 5.7775, p = 0.0162), fractures (χ 2(1) = 4.7269, p = 0.0297) and combined falls & fractures (χ 2(1) = 4.7269, p = 0.0297). C-statistics were: falls; FRAX 0.544, BMI 0.610, QFractureScore 0.554, Garvan nomogram 0.579, TUGT 0.656, fractures; FRAX 0.655, BMI 0.708, QFractureScore 0.736, Garvan nomogram 0.712, TUGT 0.590, combined falls and fractures, c-statistics were same as for fractures. Fifty-four participants (25%) died during follow-up. Charlson comorbidity index predicted mortality, R 2 = 0.021 (p = 0.034). Conclusions: QFractureScore, BMI and Garvan nomogram were good predictors of fractures and combined falls and fractures Only age had statistically significant association with the outcomes. No tool was good predictor of falls.
https://eprints.bournemouth.ac.uk/36613/
Source: Scopus
Assessment of fracture risk tools in care home residents: a multi-centre observational pilot study.
Authors: Ihama, F., Pandyan, A. and Roffe, C.
Journal: Eur Geriatr Med
Volume: 12
Issue: 1
Pages: 79-89
ISSN: 1878-7649
DOI: 10.1007/s41999-020-00383-2
Abstract:BACKGROUND: Fragility fractures are common in care home residents but established tools have not been tested in this population. AIM: To identify the most practicable tool for use. METHODS: DESIGN: Multicentre prospective observational cohort pilot study. SETTING: 18 care homes in Boston, UK. ASSESSMENTS: fragility risk score at baseline with FRAX, QFractureScore, Garvan nomogram, body mass index and TUGT for each participant. OUTCOMES: falls, fractures, combined falls & fractures. Follow-up; 12 months. RESULTS: 217/618 (35%) residents in the 18 care homes were enrolled. 147 (68%) had mental capacity,70 (32%) did not. There were 325 falls and 10 fractures in participants during the study. At the same time there were 1671 falls and 103 fractures in residents not participating in the study. Multiple regression analyses showed that only age had a statistically significant association with falls (χ2(1) = 5.7775, p = 0.0162), fractures (χ2(1) = 4.7269, p = 0.0297) and combined falls & fractures (χ2(1) = 4.7269, p = 0.0297). C-statistics were: falls; FRAX 0.544, BMI 0.610, QFractureScore 0.554, Garvan nomogram 0.579, TUGT 0.656, fractures; FRAX 0.655, BMI 0.708, QFractureScore 0.736, Garvan nomogram 0.712, TUGT 0.590, combined falls and fractures, c-statistics were same as for fractures. Fifty-four participants (25%) died during follow-up. Charlson comorbidity index predicted mortality, R2 = 0.021 (p = 0.034). CONCLUSIONS: QFractureScore, BMI and Garvan nomogram were good predictors of fractures and combined falls and fractures Only age had statistically significant association with the outcomes. No tool was good predictor of falls.
https://eprints.bournemouth.ac.uk/36613/
Source: PubMed
Assessment of fracture risk tools in care home residents: a multi-centre observational pilot study
Authors: Ihama, F., Pandyan, A. and Roffe, C.
Journal: EUROPEAN GERIATRIC MEDICINE
Volume: 12
Issue: 1
Pages: 79-89
eISSN: 1878-7657
ISSN: 1878-7649
DOI: 10.1007/s41999-020-00383-2
https://eprints.bournemouth.ac.uk/36613/
Source: Web of Science (Lite)
Assessment of fracture risk tools in care home residents: a multi-centre observational pilot study.
Authors: Ihama, F., Pandyan, A. and Roffe, C.
Journal: European geriatric medicine
Volume: 12
Issue: 1
Pages: 79-89
eISSN: 1878-7657
ISSN: 1878-7649
DOI: 10.1007/s41999-020-00383-2
Abstract:Background
Fragility fractures are common in care home residents but established tools have not been tested in this population.Aim
To identify the most practicable tool for use.Methods
DESIGN: Multicentre prospective observational cohort pilot study.Setting
18 care homes in Boston, UK.Assessments
fragility risk score at baseline with FRAX, QFractureScore, Garvan nomogram, body mass index and TUGT for each participant.Outcomes
falls, fractures, combined falls & fractures. Follow-up; 12 months.Results
217/618 (35%) residents in the 18 care homes were enrolled. 147 (68%) had mental capacity,70 (32%) did not. There were 325 falls and 10 fractures in participants during the study. At the same time there were 1671 falls and 103 fractures in residents not participating in the study. Multiple regression analyses showed that only age had a statistically significant association with falls (χ2(1) = 5.7775, p = 0.0162), fractures (χ2(1) = 4.7269, p = 0.0297) and combined falls & fractures (χ2(1) = 4.7269, p = 0.0297). C-statistics were: falls; FRAX 0.544, BMI 0.610, QFractureScore 0.554, Garvan nomogram 0.579, TUGT 0.656, fractures; FRAX 0.655, BMI 0.708, QFractureScore 0.736, Garvan nomogram 0.712, TUGT 0.590, combined falls and fractures, c-statistics were same as for fractures. Fifty-four participants (25%) died during follow-up. Charlson comorbidity index predicted mortality, R2 = 0.021 (p = 0.034).Conclusions
QFractureScore, BMI and Garvan nomogram were good predictors of fractures and combined falls and fractures Only age had statistically significant association with the outcomes. No tool was good predictor of falls.https://eprints.bournemouth.ac.uk/36613/
Source: Europe PubMed Central
Assessment of fracture risk tools in care home residents: a multi-centre observational pilot study.
Authors: Ihama, F., Pandyan, A. and Roffe, C.
Journal: European Geriatric Medicine
Volume: 12
Issue: 1
Pages: 79-89
ISSN: 1878-7649
Abstract:BACKGROUND: Fragility fractures are common in care home residents but established tools have not been tested in this population. AIM: To identify the most practicable tool for use. METHODS: DESIGN: Multicentre prospective observational cohort pilot study. SETTING: 18 care homes in Boston, UK. ASSESSMENTS: fragility risk score at baseline with FRAX, QFractureScore, Garvan nomogram, body mass index and TUGT for each participant. OUTCOMES: falls, fractures, combined falls & fractures. Follow-up; 12 months. RESULTS: 217/618 (35%) residents in the 18 care homes were enrolled. 147 (68%) had mental capacity,70 (32%) did not. There were 325 falls and 10 fractures in participants during the study. At the same time there were 1671 falls and 103 fractures in residents not participating in the study. Multiple regression analyses showed that only age had a statistically significant association with falls (χ2(1) = 5.7775, p = 0.0162), fractures (χ2(1) = 4.7269, p = 0.0297) and combined falls & fractures (χ2(1) = 4.7269, p = 0.0297). C-statistics were: falls; FRAX 0.544, BMI 0.610, QFractureScore 0.554, Garvan nomogram 0.579, TUGT 0.656, fractures; FRAX 0.655, BMI 0.708, QFractureScore 0.736, Garvan nomogram 0.712, TUGT 0.590, combined falls and fractures, c-statistics were same as for fractures. Fifty-four participants (25%) died during follow-up. Charlson comorbidity index predicted mortality, R2 = 0.021 (p = 0.034). CONCLUSIONS: QFractureScore, BMI and Garvan nomogram were good predictors of fractures and combined falls and fractures Only age had statistically significant association with the outcomes. No tool was good predictor of falls.
https://eprints.bournemouth.ac.uk/36613/
Source: BURO EPrints