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Multiple simultaneous fractures are associated with higher all-cause mortality: Results from a province-wide fracture liaison service

Osteoporosis International Nov 25, 2019

Sujic R, Luo J, Beaton DE, et al. - In this cohort study that involved fragility fracture persons aged 50 and more, recruited in a provincial fracture liaison service (FLS) in Ontario, Canada, between 2007 and 2010, experts investigated all-cause mortality rates in a provincial FLS and the relationship between the index fracture type, especially various concomitant fractures, and the risk of death at follow-up. Following adjusting for age and gender, and with regard to distal radius fracture, people with multiple (simultaneous) fractures at the screening had a greater risk of dying, followed by those with a hip fracture, a proximal humerus fracture, and other single fractures. Having an index ankle fracture was not related to the risk of death over a distal radius fracture. Compared with the 50–65 age group, a greater risk of death was noted in persons 66 years and older. Lower risk of death was noted in females vs males. Thus, an indicator of a greater risk of death with regards to a distal radius fracture was presenting with various fractures. This finding designates the requirement for enhanced focus on this high-risk group.
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