Prediction of Fracture in Nursing Home Residents

• Published in: Journal of the American Geriatrics Society (JAGS) 2002-08, Vol.50 (8), p.1341-1347
• Main Authors: Girman, Cynthia J., Chandler, Julie M., Zimmerman, Sheryl I., Martin, Allison R., Hawkes, William, Hebel, J. Richard, Sloane, Philip D., Magaziner, Jay
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Algorithms; Biological and medical sciences; Bone Density; Cohort Studies; Elderly people; Female; Follow-Up Studies; Forecasting; fracture risk; Fractured hips; Fractures; Fractures, Bone - epidemiology; Fractures, Bone - prevention & control; Homes for the Aged - statistics & numerical data; Humans; Incidence; Injuries of the limb. Injuries of the spine; low bone mineral density; Maryland; Medical sciences; nursing home residents; Nursing homes; Nursing Homes - statistics & numerical data; Older people; Osteoporosis; Predictors; Prospective Studies; Random Allocation; Risk; Risk assessment; Risk Factors; Time Factors; Traumas. Diseases due to physical agents; USA; Women
• ISSN: 0002-8614; 1532-5415
• DOI: 10.1046/j.1532-5415.2002.50354.x

OBJECTIVES: TTo investigate cross‐validated methods of identifying patients at increased risk of fracture in nursing homes using readily available data. DESIGN: Prospective cohort study with 18 months of follow‐up. SETTING: Forty‐seven randomly selected nursing homes in Maryland. PARTICIPANTS: One thousand four hundred twenty‐seven white female nursing home residents aged 65 and older were followed for fracture for 18 months after baseline assessment. MEASUREMENTS: Fracture ascertained by physician note or x‐ray from chart ion; demographic and baseline data extracted from the Minimum Data Set (MDS). RESULTS: Exploratory analyses on a random subset (67%) of the data (development sample) identified variables that might be important in predicting subsequent fracture and included variables for how the resident moved between locations in her room or adjacent corridor (mobility), age, weight, height, independence in eating and dressing, urinary incontinence, resistance to care, falls in the previous 6 months, a dementia score, and other activities of daily living. A simple scoring algorithm derived from a subset of these MDS variables showed good sensitivity (.70) but low specificity (.39) in the random validation sample. CONCLUSION: A scoring algorithm developed in more than 1,400 white females from 47 nursing homes in the state of Maryland shows high sensitivity for identifying women at increased risk for fracture and may be useful in targeting fracture prevention programs.