Table 1 General characteristics of the study population according to fracture.
Characters | Total n = 9212 | Index Fracture n = 7551 | Subsequent fractures n = 1661 | P-value | |
|---|---|---|---|---|---|
General information | |||||
Age (years; mean ± SD) | 74 ± 8.449 | 73.65 ± 8.442 | 75.56 ± 8.306 | < 0.001 | |
BMI (mean ± SD) | 22.91 ± 3.63 | 22.94 ± 3.58 | 22.78 ± 3.83 | 0.116 | |
Comorbidity | Yes | 6899(74.9%) | 5575 (73.8%) | 1324 (79.7%) | |
No | 2313(25.1%) | 1976 (26.2%) | 337 (20.3%) | < 0.001 | |
Surgical history | Yes | 2957 (32.1%) | 1873 (24.8%) | 1084 (65.3%) | |
No | 6255 (67.9%) | 5678 (75.2%) | 577 (34.7%) | < 0.001 | |
Trauma history | Yes | 1129 (12.3%) | 447 (5.9%) | 682 (41.1%) | |
No | 8083 (87.7%) | 7104 (94.1%) | 979 (58.9%) | < 0.001 | |
Family history | Yes | 274 (3.0%) | 201 (2.7%) | 73 (4.4%) | |
No | 8938 (97.0%) | 7350 (97.3%) | 1588 (95.6%) | < 0.001 | |
Smoking history | Yes | 115 (1.2%) | 94 (1.2%) | 21 (1.3%) | |
Quit smoking | 51 (0.6%) | 40 (0.5%) | 11 (0.7%) | ||
Never | 9046 (98.2%) | 7417 (98.3%) | 1629 (98.0%) | 0.803 | |
Drinking history | Yes | 82 (0.9%) | 61 (0.8%) | 21 (1.3%) | |
Quit drinking | 40 (0.4%) | 27 (0.4%) | 13 (0.8%) | ||
Never | 9090 (98.7%) | 7463 (98.8%) | 1627 (98.0%) | 0.011 | |
Occupation | Unemployed | 4196 (45.5%) | 3868 (51.2%) | 747 (45.0%) | |
Employed | 5016 (54.5%) | 3683 (48.8%) | 914 (55.0%) | < 0.001 | |
Education | Secondary school or below | 7769 (84.3%) | 6411 (84.9%) | 1358 (81.8%) | |
High school | 1028 (11.2%) | 820 (10.9%) | 208 (12.5%) | ||
College and above | 415 (4.5%) | 320 (4.2%) | 95 (5.7%) | 0.003 | |
Marital status | Married or partnered | 7816 (84.8%) | 6487 (85.9%) | 1329 (80.0%) | |
Never married | 31 (0.3%) | 25 (0.3%) | 6 (0.4%) | ||
Divorced or widowed | 1365 (14.9%) | 1039 (13.8%) | 326 (19.6%) | < 0.001 | |
Number of children | 0 | 60 (0.7%) | 50 (0.6%) | 10 (0.6%) | |
1 | 1771 (19.2%) | 1495 (19.8%) | 276 (16.6%) | ||
2 | 3618 (39.3%) | 3017 (40.0%) | 601 (36.2%) | ||
≥ 3 | 3763 (40.8%) | 2989 (39.6%) | 774 (46.6%) | < 0.001 | |
Family income (thousand yuan/year) | < 10 | 5985 (65.0%) | 4892 (64.8%) | 1093 (65.8%) | |
10–20 | 2347 (25.5%) | 1956 (25.9%) | 391 (23.6%) | ||
20–30 | 556 (6.0%) | 446 (5.9%) | 110 (6.6%) | ||
> 30 | 324 (3.5%) | 257 (3.4%) | 67 (4.0%) | 0.117 | |
Characteristics of index fracture | |||||
Fracture site | Vertebral | 4186 (45.5%) | 3299 (43.7%) | 887 (53.4%) | |
Hip | 3393 (36.8%) | 2803 (37.1%) | 590 (35.5%) | ||
Other | 1633 (17.7%) | 1449 (19.2%) | 184 (11.1%) | < 0.001 | |
Cause of fracture | Fall | 6346 (68.9%) | 5263 (69.7%) | 1083 (65.2%) | |
Slight strike | 780 (8.5%) | 691 (9.2%) | 89 (5.4%) | ||
Strain | 1332 (14.4%) | 1050 (13.9%) | 282 (17.0%) | ||
No inducement | 329 (3.6%) | 245 (3.2%) | 84 (5.1%) | ||
Other | 425 (4.6%) | 302 (4.0%) | 123 (7.4%) | < 0.001 | |
Prevention information after index fracture | |||||
BMD T-score | ≤ −2.5 | 3362 (36.5%) | 2539 (33.6%) | 823 (49.5%) | |
> −2.5 | 1957 (21.2%) | 1702 (22.5%) | 255 (15.4%) | ||
Unknown | 3893 (42.3%) | 3310 (43.8%) | 583 (35.1%) | < 0.001 | |
Fall risk assessment | Not evaluated | 5764 (62.6%) | 4814 (63.8%) | 950 (57.2%) | |
Low risk | 641 (7.0%) | 562 (7.4%) | 79 (4.8%) | ||
Moderate risk | 759 (8.2%) | 604 (8.0%) | 155 (9.3%) | ||
High risk | 2048 (22.2%) | 1571 (20.8%) | 1469 (88.4%) | < 0.001 | |
Fracture risk assessment | Not evaluated | 8613 (93.5%) | 7138 (94.5%) | 1475 (88.8%) | |
Low risk | 39 (0.4%) | 34 (0.5%) | 5 (0.3%) | ||
Moderate risk | 93 (1.0%) | 77 (1.0%) | 16 (1.0%) | ||
High risk | 467 (5.1%) | 302 (4.0%) | 165 (9.9%) | < 0.001 | |
Walking aids | No | 3995 (43.4%) | 3337 (44.2%) | 658 (39.6%) | |
Yes | 5217 (56.6%) | 4214 (55.8%) | 1003 (60.4%) | 0.001 | |
Use of AOM | No | 4822 (52.3%) | 3835 (50.8%) | 987 (59.4%) | |
Yes | 4390 (47.7%) | 3716 (49.2%) | 674 (40.6%) | < 0.001 | |
Use of calcium or vitamin D | No | 6555 (71.2%) | 5266 (69.7%) | 1289 (77.6%) | |
Yes | 2657 (28.8%) | 2285 (30.3%) | 372 (22.4%) | < 0.001 | |
Fall prevention health education | No | 724 (7.9%) | 572 (7.6%) | 152 (9.2%) | |
Yes | 8488 (92.1%) | 6979 (92.4%) | 1509 (90.8%) | 0.031 | |