The Incidence and Factors Association of Recurrent Fracture after Fragility Fracture, a Suggest Descriptive Study and Hospital Base Case Control Study in Sisaket Hospital

Abstract

Background: Fragility fracture currently become a problem in healthcare. Morbidity, recurrent fracture and disability could be occurred following these fractures. Finding causes, associated factors and modifiable factors may reduce a recurrent fracture and improved quality of life of fragility fracture patient in the future.
Methods: A retrospective study of patients who had a fragility fracture at spine, proximal humerus, wrist or hip who were diagnosed and treated at Sisaket Hospital from January 2017 to December 2021. An incidence of recurrent fracture was study by descriptive study, its factor associated was study by case control study.
Result: For a total of fragility fracture 1,986 patients, there was a recurrent fracture 102 patients (5.14%). Age is found to be an associated factor of recurrent fracture. Patient age 90 years old and above had a risk of refracture compare to patient age between 50–59 years old (Adjusted Odds ratio 4.3, 95%Confidence Interval 1.6-12.0). Rheumatoid arthritis, neurological disorder, chronic kidney disease, hypertension and anemia increase risk of refracture 10.5, 5.7, 4.4, 2.9 and 2.7 times, respectively. Serum albumin below 3.5 g/dL increase risk of refracture (Adjusted OR 3.9, 95%CI 1.6-9.2).
Summary: Higher age, presented of underlying disease and serum albumin lower than 3.5 g/dL were found to be risk factors of recurrent fracture. Emphasizing on a treatment after index fracture in these patient group, treat and control those associated factors may help to reduce a chance of refracture.