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PREVENTION AND PROTECTION OF A HIP FRACTURES

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Faruk Hodzic

This document discusses prevention and protection of hip fractures, which are a major health concern and financial burden. It notes that clinical trials show prevention and hip protection can significantly reduce hip fractures. Hip fractures often result from falls and lead to long hospital stays, increased nursing home use, and higher mortality. Osteoporosis is a key risk factor. The document advocates for prevention through exercise, nutrition, fall safety, and wearing hip protectors, as research shows hip protectors can greatly reduce hip fracture risk. It provides local data on hip fracture cases and costs in a Bosnian hospital, highlighting the need for prevention to avoid accidents, health impacts, and financial costs.

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PREVENTION AND PROTECTION OF A HIP FRACTURES
Many people, especially the elderly, who have had a fall or who are at risk of falling, need effective and comfortable hip protection as a prevention of a hip fracture. Clinical trials around the world show that prevention and hip protection can significantly reduce the incidence of hip fractures Hip fractures are the main reason why people are referred to a nursing home
What starts out as an innocent fall may lead to an operation, a long stay in hospital and an increased demand for professional care In addition, 30% of all people who suffer a hip fracture die within 2 years In other words, hip fractures are expensive for patients in terms of quality of life, and for society in terms of financial costs
RISC FACTORS 1. OSTEOPOROSIS 2. AGE 3. SEX 4. SOCIOECONOMIC STATUS 5. LAKE OF VIT D etc...
OSTEOPOROSIS Osteoporosis is defined, by consensus, as a systemic skeletal disease, characterized by low bone mass and micro architectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture Increase of hip fractures with age. Osteoporosis is primarily described in postmenopausal women but men arc not free from it, and a quarter of the hip fractures occurs in men. Osteoporosis and its direct consequences, fractures, are major concerns for public health since they arc associated with increased death rates and with substantial disability
OSTEOPOROSIS Moreover, they represent an important cost for the public health budget. European Commission estimated in a recent report the cost of osteoporosis in the countries of the European Union at 3.5 billion annually for hospital health care alone An American study estimated the total health care expenditure attributable to osteoporotic fractures in the United States at USS 13.8 billion ( 12.4 billion) in 1995
BURDEN OF INJURY FROM FALLS A growing number of elderly people indicate a future rise in the occurrence of hip fractures Worldwide, it is estimated that the number of hip fractures will increase from 1.66 million into 2.6 million in 2025 and 6.26 million in 2050. THINKING ABOUT THE COSTS!!!
Prevention and protection can help to avoid many of the accidents that lead to a diminished quality of life for many people and to increased treatment and care costs
Hip fracture is the single disease that occupies the highest number of bed days in Denmark and around 7,500 hip fractures among people over 65 years occur annually 14% of all the hospitalizations come from nursing homes. More than 90% of all hip fractures are caused by falls Fall-related injuries as hip fractures are associated with increased mortality and a major cause of loss of functional capacity and impaired quality of life
We need that data and research in BiH In our County hospital Zenica, on department of Orthopedic and Traumatology, we were operated amount of large number of patients in third age of their life We will show the pr辿cised data about type of operation and morbidities among our patients with hip fractures four periods 1985- 2010
RESULTS... From 1985. do 2010. yrs we operated 847 patients with hip fractures I group age 20-60 we had 51 patients-mostly traumatized II group age 60-80 we had a 704 patients III group age < 80 we had a 92 patients From 847 patients 642 was women and 205 are man 847 patients multiply by cost of endoprosthesis, operation and other costs off taking care four patients (nursing etc...), recovery and stuff (5000KM cca) = 4.235 000 KM (2.100 000 )
PREVENTION... 1. Taking care about Osteoporosis ( Ca, Vit D3) 2. Excersises 3. Healty life habits 4. No smoking 5. Reduce the alcohol 6. Densitometry 7. Making home safe from falls WEARING HIP PROTECTORS!!!
Research from American Family Physician Journal 2001 The authors conclude from this study that the risk of hip fracture in elderly persons can be greatly reduced by the use of a hip-protector device. The hip protector may also decrease the risk of pelvic fractures. Kannus P, Parkkari J, Niemi S, Pasanen M, Palvanen M, J辰rvinen M, et al. Prevention of hip fracture in elderly people with use of a hip protector. N Engl J Med 2000;343:1508.
Hip Protectors
Only place in ZE-DO Canton where our patinets can find the Hip Protectors....
THANKS!!!

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PREVENTION AND PROTECTION OF A HIP FRACTURES

  • 2. Many people, especially the elderly, who have had a fall or who are at risk of falling, need effective and comfortable hip protection as a prevention of a hip fracture. Clinical trials around the world show that prevention and hip protection can significantly reduce the incidence of hip fractures Hip fractures are the main reason why people are referred to a nursing home
  • 3. What starts out as an innocent fall may lead to an operation, a long stay in hospital and an increased demand for professional care In addition, 30% of all people who suffer a hip fracture die within 2 years In other words, hip fractures are expensive for patients in terms of quality of life, and for society in terms of financial costs
  • 4. RISC FACTORS 1. OSTEOPOROSIS 2. AGE 3. SEX 4. SOCIOECONOMIC STATUS 5. LAKE OF VIT D etc...
  • 5. OSTEOPOROSIS Osteoporosis is defined, by consensus, as a systemic skeletal disease, characterized by low bone mass and micro architectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture Increase of hip fractures with age. Osteoporosis is primarily described in postmenopausal women but men arc not free from it, and a quarter of the hip fractures occurs in men. Osteoporosis and its direct consequences, fractures, are major concerns for public health since they arc associated with increased death rates and with substantial disability
  • 6. OSTEOPOROSIS Moreover, they represent an important cost for the public health budget. European Commission estimated in a recent report the cost of osteoporosis in the countries of the European Union at 3.5 billion annually for hospital health care alone An American study estimated the total health care expenditure attributable to osteoporotic fractures in the United States at USS 13.8 billion ( 12.4 billion) in 1995
  • 7. BURDEN OF INJURY FROM FALLS A growing number of elderly people indicate a future rise in the occurrence of hip fractures Worldwide, it is estimated that the number of hip fractures will increase from 1.66 million into 2.6 million in 2025 and 6.26 million in 2050. THINKING ABOUT THE COSTS!!!
  • 8. Prevention and protection can help to avoid many of the accidents that lead to a diminished quality of life for many people and to increased treatment and care costs
  • 9. Hip fracture is the single disease that occupies the highest number of bed days in Denmark and around 7,500 hip fractures among people over 65 years occur annually 14% of all the hospitalizations come from nursing homes. More than 90% of all hip fractures are caused by falls Fall-related injuries as hip fractures are associated with increased mortality and a major cause of loss of functional capacity and impaired quality of life
  • 10. We need that data and research in BiH In our County hospital Zenica, on department of Orthopedic and Traumatology, we were operated amount of large number of patients in third age of their life We will show the pr辿cised data about type of operation and morbidities among our patients with hip fractures four periods 1985- 2010
  • 11. RESULTS... From 1985. do 2010. yrs we operated 847 patients with hip fractures I group age 20-60 we had 51 patients-mostly traumatized II group age 60-80 we had a 704 patients III group age < 80 we had a 92 patients From 847 patients 642 was women and 205 are man 847 patients multiply by cost of endoprosthesis, operation and other costs off taking care four patients (nursing etc...), recovery and stuff (5000KM cca) = 4.235 000 KM (2.100 000 )
  • 12. PREVENTION... 1. Taking care about Osteoporosis ( Ca, Vit D3) 2. Excersises 3. Healty life habits 4. No smoking 5. Reduce the alcohol 6. Densitometry 7. Making home safe from falls WEARING HIP PROTECTORS!!!
  • 13. Research from American Family Physician Journal 2001 The authors conclude from this study that the risk of hip fracture in elderly persons can be greatly reduced by the use of a hip-protector device. The hip protector may also decrease the risk of pelvic fractures. Kannus P, Parkkari J, Niemi S, Pasanen M, Palvanen M, J辰rvinen M, et al. Prevention of hip fracture in elderly people with use of a hip protector. N Engl J Med 2000;343:1508.
  • 15. Only place in ZE-DO Canton where our patinets can find the Hip Protectors....