Author: Yim, Kim-hong Michael
Title: The mean age of the first hip fracture amongst healthy elderly in Hong Kong
Degree: M.Sc.
Year: 2003
Subject: Hong Kong Polytechnic University -- Dissertations
Hip joint -- Fractures
Older people -- Health and hygiene
Department: Multi-disciplinary Studies
Department of Rehabilitation Sciences
Pages: ix, 61 leaves : col. ill. ; 30 cm
Language: English
Abstract: The aim of the study was to determine the mean age of healthy older persons sustained first hip fracture (Agemean) due to fall in Hong Kong. The second objective was to compare the Agemean between the years of 1995-96 and 2000-01. The effect of DM and/or HT and premorbid walking status on Agemean as well as the frequency of the side and type of hip fracture and living district were also examined. This was a retrospective study including a total numbers of 828 cases. These cases were obtained from three hospitals: the United Christian Hospital, the Prince of Wales Hospital and the Pamela Youde Nethersole Eastern Hospital in two particular periods of years i.e. 1995-96 & 2000-01. Cases from the above hospitals were used to represent the population living in the respective districts. Data were analyzed by using Independent sample t-tests, one-way ANOVA, one-way and two-way chi-square tests. Results indicated that the Agemean of all subjects for the year of 1995-96 and 2000-01 was 79.5+-7.2 years old & 80.5+-7.2 years old respectively. There was no significant difference of Agemean between these periods of years. Within each year period, more older female persons suffered from hip fracture than the older male persons (p < 0.01). For both 1995-96 and 2000-01, there was no significant difference between older persons who had DM and/or HT and those who did not have DM and/or HT for Agemean. However, older persons who walk unaided had younger Agemean than those who walked with aids (p < 0.01). Regarding the side and site of fracture, significantly more people had on left-sided than right-side fracture (p < 0.01), and significantly more people had fracture NOF than that of TOF (p < 0.01). However, there was no significant difference among older persons living in different districts for Agemean. Findings of the present study suggested that fall prevention program should be started earlier than 73.5 years old for female and 72.8 years old for male healthy older persons in Hong Kong in coming few years. Regular review of the Agemean is highly recommended. The fall prevention programme is recommended to include balance training and the prescription of appropriate assistive devices.
Rights: All rights reserved
Access: restricted access

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