@article{Murena_Ratti_Maritan_Rasio_Pistorio_Cusitore_Canton_2020, title={Epidemiology and risk factors for contralateral proximal femur fracture: a single center retrospective cohort study on 1022 patients}, volume={91}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/9716}, DOI={10.23750/abm.v91i4-S.9716}, abstractNote={<p class="p1"> </p> <p class="p2"><span class="s1"><strong>S</strong></span><span class="s2"><strong>umma</strong></span><span class="s3"><strong>r</strong></span><span class="s4"><strong>y</strong></span><strong>.</strong> B<span class="s1">a</span>ck<span class="s1">g</span><span class="s2">r</span>ound and aim of the wo<span class="s2">r</span>k: Gi<span class="s1">v</span>en the high impact of p<span class="s2">ro</span>ximal <span class="s1">f</span>e<span class="s2">m</span>ur f<span class="s1">r</span>actu<span class="s2">r</span>es (PFFs) <span class="s2">o</span>n elde<span class="s10">r</span><span class="s1">l</span>y patients and health<span class="s1">c</span>a<span class="s2">r</span>e s<span class="s1">y</span>stems, the bu<span class="s2">r</span>den of c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al PFFs might be <span class="s2">o</span><span class="s1">v</span>e<span class="s10">r</span>lo<span class="s2">o</span>ked. Aim of the study is to ana<span class="s1">lyz</span>e the epidemiolo<span class="s5">g</span>y and <span class="s1">r</span>isk factors of c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al p<span class="s2">ro</span>ximal <span class="s1">f</span>e<span class="s2">m</span>ur f<span class="s1">r</span>actu<span class="s2">r</span>es. <span class="s1">S</span>ec<span class="s2">o</span>nda<span class="s5">r</span>y aim is to detect mo<span class="s1">r</span>tali<span class="s1">t</span>y <span class="s1">r</span>ate diffe<span class="s2">r</span>ences in first and c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al PP<span class="s15">F</span>. <span class="s2">Methods</span>: A <span class="s2">populatio</span>n <span class="s2">o</span>f <span class="s2">102</span>2 <span class="s2">patient</span>s <span class="s2">ad</span><span class="s2">mitte</span>d <span class="s2">fo</span>r <span class="s2">proxima</span>l f<span class="s2">emu</span>r <span class="s2">f</span>r<span class="s2">acture</span>s <span class="s2">i</span>n a <span class="s2">singl</span>e <span class="s2">cente</span>r <span class="s2">wa</span>s <span class="s2">studied</span>. <span class="s17">P</span><span class="s2">r</span><span class="s1">e</span><span class="s2">valenc</span>e <span class="s2">a</span>t <span class="s2">admissio</span>n <span class="s2">a</span>s <span class="s2">we</span>ll <span class="s2">a</span>s <span class="s2">incidence o</span>f <span class="s2">cont</span>r<span class="s2">alate</span>r<span class="s2">a</span>l <span class="s2">PF</span>F <span class="s2">du</span><span class="s1">r</span><span class="s2">in</span>g a <span class="s2">1</span>8 <span class="s2">t</span>o <span class="s2">3</span>6 <span class="s2">month</span>s <span class="s2">fo</span>l<span class="s2">low-u</span>p <span class="s2">wa</span>s <span class="s2">recorded</span>. <span class="s2">Epidemiolo</span><span class="s10">g</span>y <span class="s2">o</span>f <span class="s2">cont</span>r<span class="s2">alate</span>r<span class="s2">a</span>l <span class="s2">PF</span>F <span class="s2">was studie</span>d <span class="s2">recordin</span>g <span class="s2">numbe</span>r <span class="s2">o</span>f <span class="s1">e</span>v<span class="s2">ents</span>, <span class="s2">tim</span>e <span class="s2">t</span>o <span class="s2">secon</span>d <span class="s2">f</span>r<span class="s2">actur</span>e <span class="s2">an</span>d <span class="s2">f</span>r<span class="s2">actur</span>e <span class="s1">ty</span><span class="s2">pe</span>. <span class="s2">Mo</span><span class="s1">r</span><span class="s2">tali</span><span class="s1">t</span>y <span class="s2">a</span>t <span class="s2">1-</span>y<span class="s2">ea</span>r <span class="s2">wa</span>s <span class="s2">recorded fo</span>r <span class="s2">a</span>ll <span class="s2">patient</span>s <span class="s2">an</span>d <span class="s2">compare</span>d <span class="s2">be</span>t<span class="s2">wee</span>n <span class="s2">firs</span>t <span class="s2">an</span>d <span class="s2">secon</span>d <span class="s2">PF</span>F <span class="s2">patients</span>. <span class="s2">Como</span><span class="s1">r</span><span class="s2">bidities</span>, <span class="s2">pha</span>r<span class="s2">macothe</span>r<span class="s2">ap</span><span class="s7">y</span>, <span class="s2">BMI, M</span><span class="s12">N</span>A <span class="s2">an</span>d <span class="s2">SPMS</span>Q <span class="s2">wer</span>e <span class="s2">studie</span>d <span class="s2">a</span>s <span class="s2">possibl</span>e <span class="s1">r</span><span class="s2">is</span>k <span class="s2">factors</span>. Results: <span class="s17">P</span><span class="s2">r</span><span class="s1">e</span>valence and incidence of c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al PFFs we<span class="s2">r</span>e 9.4% and 6.5% <span class="s2">r</span>especti<span class="s1">v</span>e<span class="s1">l</span><span class="s7">y</span>. Median time to sec<span class="s2">o</span>nd f<span class="s1">r</span>actu<span class="s2">r</span>e was 12 m<span class="s2">o</span>nths. One-<span class="s1">y</span>ear mo<span class="s1">r</span>tali<span class="s1">t</span>y of c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al PFFs was signifi<span class="s1">c</span>ant<span class="s1">l</span>y l<span class="s2">o</span>wer (20.5% <span class="s1">v</span>s 25.1%, p 0.003) than first PF<span class="s15">F</span>. C<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al f<span class="s1">r</span>actu<span class="s2">r</span>e patients had a signifi<span class="s1">c</span>ant<span class="s1">l</span>y l<span class="s2">o</span>wer BMI and a significantly l<span class="s2">o</span>wer p<span class="s2">r</span>opo<span class="s1">r</span>ti<span class="s2">o</span>n of malnou<span class="s1">r</span>ished patients. Conclusions: The incidence and p<span class="s2">r</span><span class="s1">e</span>valence of c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al PFFs is <span class="s2">r</span>el<span class="s1">e</span>vant. Mo<span class="s1">r</span>tali<span class="s1">t</span>y of c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al PFFs <span class="s2">r</span>esults to be l<span class="s2">o</span>wer than first PF<span class="s15">F</span>. <span class="s12">P</span>atients with higher BMI and malnou<span class="s1">r</span>ished patients ha<span class="s1">v</span>e a l<span class="s2">o</span>wer <span class="s1">r</span>isk of c<span class="s2">o</span>nt<span class="s1">r</span>alate<span class="s1">r</span>al PF<span class="s15">F</span>. </p>}, number={4-S}, journal={Acta Biomedica Atenei Parmensis}, author={Murena , Luigi and Ratti, Chiara and Maritan, Guido and Rasio, Nicholas and Pistorio , Sabrina and Cusitore, Marcello and Canton , Gianluca}, year={2020}, month={May}, pages={115–121} }