FRACTURE RISK ASSESSMENT IN GERIATRIC HOMES IN EGYPT

Fractures in elderly are an important public health issue, especially as incidence increases with age, and the population of elderly people is growing. Function and quality of life may deteriorate drastically after a fracture. Detecting the most prevalent risk factors of fractures may help preventing further fractures and decrease their functional and economic burden. Objectives: To assess fracture risk among elderly living in geriatric homes and detect the most prevalent risk factors of fractures Methods: This Cross sectional study was performed among 100 elderly ( ? 60 years) subjects including both males and females living in fo ur geriatric homes in Cairo, Egypt, in the time period between June 2014 and September 2015. Comprehensive geriatric assessment was obtained, then fracture risk calculators to estimate the absolute risk of fractures were applied for each participant includ ing; Fracture Risk Assessment Tool (FRAX) (without bone mineral density measurement), Q fracture, and Garvan tool . Results: The prevalence of fractures in the included geriatric homes was 21%. The most prevalent risk factor of fractures is recurrent falls (49%) and the least prevalent risk factor is chronic kidney disease (2 %). There was a statistically significant difference between subjects with history of fractures and subjects without regarding history of recurrent falls in the last year, prolonged Tim ed up and go test and functional impairment (P<0.05). The cutoff of significant 10 year major osteoporotic fracture risk according to FRAX, Q fracture and Garvan is 7.1%; 17.5%and 19% respectively. The cutoff of significant 10 year hip fracture risk accord ing to FRAX, Q fracture and Garvan is 3%; 5.7% and 2 % respectively. Conclusion: According to the current study Garvan tool has the highest sensitivity and FRAX tool has the highest specificity to calculate the estimated 10 year risk of hip and major oste oporotic fracture