Turkish Journal of Physical Medicine and Rehabilitation , Vol , Num
Would FRAX Define the High Fracture Risk if the Patients Were Evaluated the Day before Hip Fracture?
Figen KOÇYİĞİT 1 ,Merve ACAR 2 ,Meltem BAYDAR 2 ,Ersin KUYUCU 3 ,Ali KOÇYİĞİT 4
1 Clinic of Physical Medicine and Rehabilitation, Denizli State Hospital, Denizli, Turkey
2 Clinic of Physical Medicine and Rehabilitation, Clinic a Medical Center, Samsun, Turkey
3 Clinic of Orthopedics and Traumatology, Denizli State Hospital, Denizli, Turkey
4 Clinic of Radiology, Pamukkale University Hospital, Denizli, Turkey
DOI : 10.5152/tftrd.2015.32549 Objective: The aim of this study was to evaluate the 10-year major osteoporotic and hip fracture risks in patients with a recent hip fracture.

Material and Methods: The study population comprised 58 patients (32 male and 26 female, mean age 79.1 years) with a recent hip fracture. A bedside questionnaire including fracture risk assessment tool (FRAX®) variables and fall frequency was administered to the patients. The FRAX® 10-year major osteoporotic and hip fracture risks were calculated. Statistical analyses were performed to compare different age groups (60–69 years, 70–79 years, and ≥80 years).

Results: The mean 10-year major osteoporotic and hip fracture risks were 13.9% and 78%, respectively. If the National Osteoporosis Foundation guidelines were taken into account according to major osteoporotic and hip fracture risks using FRAX® the day before the fracture, treatment would not be initiated in 75.8% and 18.9% of patients, respectively. There were significant differences between the age groups according to the 10-year major osteoporotic and hip fracture probability and fall frequency (p<0.001, p<0.001, and p=0.005, respectively).

Conclusion: In our study group, the FRAX® 10-year major osteoporotic fracture probability had an underestimation in younger patients with a history of frequent falling and did not seem to improve the definition of high-risk patients. The 10-year probability of hip fracture by the FRAX® tool can classify populations at risk more effectively. Keywords : Fracture risk, FRAX®, osteoporosis, FRAX® Turkish thresholds