Programme no. 565-P
Robert Svartholm*1, Annika Forssen2
1Norrbottens läns landsting,Björknäs HC,Boden,Sweden, 2Dep of Public health and clin.medicine,Family medicine,Luleå,Sweden
* = Presenting author
Objectives: To analyse the frequence of hip fracture in the town of Boden correlated till age and gender.
Background: Hip fracture is often thought of as a result of osteoporosis, and hense preventable by bifosfonates. Is this a reasonable hypothesis? We have analysed all hipfractures for a year i Boden.
Results: Most of the hip fractures appears among the oldest population, and most of the patients are treated in a polypharmacological way. It is hard to decide the nature of the trauma from a normal case record material
Material/Methods: All hospital registrations of hip fracture among inhabitants of Boden - a middle sized town of Sweden, correlated to sick case records from the primary care.
Conclusion: Most hip fractures seems to be iatrogenic, and a result of falls correlated to pharmacological side-effects. To reduce the frequense of hip fractures in a small town interventions has to aim at the very oldest part of the population
Points for discussion: This small study indicates, that most hipfractures are preventable, but not mainly by treating middle aged patients with biphosfonates, but by reducing the pharmachological burden among the very oldest persons in the population