Date of Award

12-2021

Degree Type

Thesis

Degree Name

MS in Epidemiology & Biostatistics

First Advisor

DR. MASOOD KADIR

Second Advisor

DR. TASHFEEN AHMAD

Third Advisor

DR. SHAHRYAR NOORDIN

Department

Community Health Sciences

Abstract

Background: Falls among the elderly are a tragically common occurrence that can result in serious health consequences ranging from minor bruising to fatal injuries such as fractures and brain damage. The study aims to identify the risk factors associated with hip fractures in the geriatric patients and to determine the association of hip fractures with different fall prevention strategies in patients seeking treatment at a tertiary care hospital, Karachi, Pakistan.
Methods: This was a single-center case-control study conducted in a tertiary care hospital. Data was retrieved from hospital medical records and recorded on a pre-structured proforma. Measures of association for predictive variables were analyzed using logistic regression analysis and crude and adjusted odd’s ratios (OR) with 95 percent confidence intervals (CI).
Result: A total of 270 patients were included in the study, 135 in each arm i.e cases and controls out of which 139 (51%) were males and 131 (49%) were females. The mean age of the patients was 69.8 + 10 years (range 55-103). After adjusting for other variables in the model, the odds of having osteoporosis among patients with hip fractures was 17 times higher than the odds of having osteoporosis among the controls (OR=17.42, 95% CI=5.44-55.7). The odds of having indoor falls among patients with hip fractures was 7.3 times higher than the odds of having indoor falls among controls (OR=7.29, 95% CI (3.69-14.39). Patients with higher functional class are more prone to falls and hip fractures. Indoor falls are more common than outdoor falls. Most common place of indoor fall was bedroom followed by washroom.
Conclusion: From our study we can conclude that osteoporosis was the leading cause of hip fracture, followed by age greater than 70 years. Indoor falls were more common than outdoor falls.

First Page

1

Last Page

96

Download

Share

COinS