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Threefold increased risk of hip fractures with rheumatoid arthritis in Central Finland
  1. T M Huuskoa,
  2. M Korpelac,
  3. P Karppia,
  4. V Avikainenb,
  5. H Kautiainend,
  6. R Sulkavae
  1. aDepartment of Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Jyväskylä, Finland, bDepartment of Surgery, Division of Orthopaedic and Trauma Surgery, Central Hospital of Central Finland, Jyväskylä, Finland, cDepartment of Internal Medicine, Section of Rheumatology, Tampere University Hospital, Pikonlinna, Finland, dRheumatism Foundation Hospital, Heinola, Finland, eDepartment of Public Health and General Practice, Division of Geriatrics, University of Kuopio, Kuopio, Finland
  1. Dr T M Huusko, Puolarmetsö Hospital, Puolarinportti 1, 02290 Espoo, Finlandtiina.huusko{at}espoo.fi

Abstract

OBJECTIVES To evaluate the impact of rheumatoid arthritis (RA) on the incidence of hip fractures.

METHODS All patients with acute hip fractures admitted to Jyväskylä Central Hospital in 1991–93 (n=517) were selected from the hospital discharge register. Medical records of these patients were studied retrospectively for RA fulfilling the American Rheumatism Association criteria. The prevalence of RA in patients with hip fractures was compared with the prevalence rates of RA obtained from the nearby city of Tampere.

RESULTS 29 (5.6%; 95% CI 3.8 to 8.0) of the patients with hip fracture in Jyväskylä Central Hospital had RA. The age and sex adjusted risk of hip fractures was increased by RA (risk ratio 3.26; 95% CI 2.26 to 4.70).

CONCLUSIONS Patients with RA are at increased risk of osteoporotic hip fractures.

  • epidemiology
  • rheumatoid arthritis
  • hip fractures

https://doi.org/10.1136/ard.60.5.521

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