A Higher Charlson Comorbidity Index Is a Risk Factor for Hip Fracture in Older Adults During Low-Temperature Periods: A Cross-Sectional Study
2024

Higher Comorbidity Increases Hip Fracture Risk in Cold Weather

Sample size: 506 publication 10 minutes Evidence: moderate

Author Information

Author(s): Chiang Ming-Hsiu, Kuo Yi-Jie, Huang Shu-Wei, Tran Duy Nguyen Anh, Chuang Tai-Yuan, Chen Yu-Pin, Lin Chung-Ying, Jürisson Mikk

Primary Institution: Taipei Medical University

Hypothesis

Does a higher Charlson Comorbidity Index increase the risk of hip fractures in older adults during low-temperature periods?

Conclusion

Older adults with higher comorbidity scores are more likely to suffer hip fractures at lower temperatures.

Supporting Evidence

  • Older adults with higher Charlson Comorbidity Index scores tend to have hip fractures at lower temperatures.
  • The study included 506 participants, with a significant association found between comorbidities and temperature-related fracture risk.
  • Comorbidities were the only clinical factor significantly associated with the temperature at which hip fractures occurred.

Takeaway

If older people have more health problems, they are more likely to break their hips when it's cold outside.

Methodology

This cross-sectional study collected data from older adults with hip fractures, analyzing their clinical histories and meteorological data.

Potential Biases

Selection bias may exist, although over 95% of eligible patients consented to participate.

Limitations

The study's sample size may limit generalizability, and it did not account for indoor temperature conditions.

Participant Demographics

The cohort included 506 older adults, with a mean age of 80.8 years, comprising 146 men and 360 women.

Statistical Information

P-Value

0.003

Confidence Interval

−0.80 to −0.16

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/medicina60121962

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