Background: Osteoporotic fractures are a major public health concern among geriatric patients, leading to
significant morbidity, mortality, and loss of independence. Understanding their prevalence and determinants is
crucial for effective prevention and management.
Aim: To determine the prevalence and identify the key determinants of osteoporotic fractures in elderly patients
admitted to a tertiary care hospital.
Methodology: A hospital-based cross-sectional study was conducted over 12 months (January 2022 to December
2022) in the Department of Orthopaedics, Sheikh Bhikhari Medical College and Hospital, Hazaribagh, Jharkhand,
India. Ninety patients aged ≥65 years with radiologically confirmed osteoporotic fractures were enrolled.
Demographic, clinical, and radiological data were collected. Logistic regression was used to identify independent
determinants.
Results: The majority of participants were females (57.8%) and from rural areas (67.8%). Hip fractures were most
common (37.8%), followed by vertebral fractures (24.4%). Low-energy falls accounted for 62.2% of fractures.
Significant determinants included age ≥75 years (OR=2.14), female gender (OR=1.86), history of previous
fracture (OR=2.72), physical inactivity (OR=1.95), and vitamin D deficiency (OR=2.38; all p<0.05).
Conclusion: Osteoporotic fractures predominantly affect elderly females, mainly involving the hip and vertebrae,
and are primarily caused by low-energy trauma. Early identification and targeted preventive strategies addressing
both modifiable and non-modifiable risk factors are essential to reduce fracture incidence and associated
healthcare burden.
M. Pratap· International Journal of Pha...· 0 citations
Background: Osteoporotic fractures are a major public health concern among older adults, leading to significant
morbidity, mortality, and reduced quality of life. Identifying prevalence and risk factors is critical for effective
prevention.
Aim: To determine the prevalence of osteoporotic fractures among older adults and evaluate associated risk
factors.
Methodology: A prospective observational study was conducted at the Department of Orthopaedics, Sheikh
Bhikhari Medical College and Hospital, Hazaribagh, Jharkhand, India, from May 2022 to August 2024. Ninety
adults aged ≥60 years with clinically and radiologically confirmed osteoporotic fractures were enrolled.
Demographic, clinical, and lifestyle data were collected, and fracture sites were documented. Bone mineral density
assessment and structured questionnaires captured nutritional and lifestyle risk factors. Statistical analyses
included Chi-square tests and multivariate logistic regression.
Results: Hip fractures were most common (38.9%), followed by vertebral (27.8%) and distal radius (20%)
fractures. Female sex predominated in hip and vertebral fractures (p<0.05). Significant independent risk factors
included age ≥70 years (OR=2.45), female sex (OR=1.78), low calcium intake (OR=2.10), vitamin D deficiency
(OR=1.92), sedentary lifestyle (OR=2.30), and history of previous fractures (OR=3.15). Smoking and alcohol use
were not significantly associated.
Conclusion: Osteoporotic fractures are prevalent among older adults, particularly in women and those with prior
fractures or nutritional deficiencies. Targeted interventions, including nutritional supplementation, physical
activity, and fall prevention, are essential to reduce fracture risk and improve quality of life.
M. Pratap· International Journal of Pha...· 0 citations
