The incidence of hip fracture in Shiraz, Iran: a promising rate comparing to previous studies

Abstract

We evaluate the incidence of hip fracture in 50 years old or above in southwest of Iran. Age-adjusted incidence rates of hip fracture, standardized to the 2000 US white population, were 79.55 per 10(5) in total and 66.51 and 92.37 per 10(5) in male and female, respectively. Osteoporosis-related hip fracture is associated with considerable morbidity, mortality, and costs in older people. The aim of this study was to evaluate the incidence rate of hip fracture in the capital of Fars Province, southern Iran. This study was conducted in Shiraz, Iran, from September 1, 2011, to August 30, 2012. All 50-year-old or above patients with hip fracture diagnosis, lived in Shiraz at least 6 months prior to hospital admission, were included in this study. All statistical analyses were performed using SPSS, version 18.0, and Microsoft Excel 2007 software. The mean age of 608 patients was 75.95 +/- 11.07 and 353 (58.3) were female. Age-adjusted incidence rates of hip fracture, standardized to the 2000 US white population, were 79.55 per 10(5) in total and 66.51 and 92.37 per 10(5) in male and female, respectively. The adjusted incidence rate of neck of the femur fracture (30.62 per 10(5) versus 23.49 per 10(5), p = 0.61) and intertrochanteric fracture (40.48 per 10(5) versus 28.5 per 10(5), p = 0.74) were higher in females than males but the differences were not statistically significant. Under the age of 65 years, the incidence rate of hip fracture was significantly higher in men, but after 65 years, it was higher among women. The rate of osteoporotic hip fracture was relatively low in southern Iran. However, by aging population, this rate will increase and health policy makers should implement targeted osteoporosis screening and management programs.