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Fellows ’ Forum : Hip Fractures in End‐Stage Renal Disease Patients: IncidenceRisk Factorsand Prevention
Author(s) -
Leinau Lisa,
Perazella Mark A.
Publication year - 2006
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.2006.00122a.x
Subject(s) - medicine , renal osteodystrophy , dialysis , incidence (geometry) , end stage renal disease , population , hip fracture , fall prevention , disease , osteoporosis , intensive care medicine , kidney disease , surgery , poison control , emergency medicine , injury prevention , physics , environmental health , optics
Hip fractures are an important problem for end‐stage renal disease (ESRD) patients treated with dialysis. The incidence of hip fractures in the dialysis population is approximately four times that of the general population. Even more concerning is the associated 1 year mortalitywhich is twice that of other dialysis patients. Management of this problem is complicated by the heterogeneous nature of renal osteodystrophy and the inadequate methods of diagnosis currently available. Fall prevention has been shown to reduce the incidence of hip fracture and associated decline in functional ability in the general population. Because falls occur frequently in the dialysis populationsimple fall prevention may be one important way of protecting dialysis patients from the morbidity and mortality of hip fracture.