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EVALUATION OF THE RELATIONSHIP BETWEEN FRAILTY AND FRACTURE RISK USING FRACTURE RISK ASSESSMENT TOOL IN PATIENTS 65 YEARS AND OVER

BERKAY DEMİRİŞ, SEMA BASAT, FATMA KURT, BERRİN AKSAKAL, OKCAN BASAT

Southern Clinics of Istanbul Eurasia - 2023;34(1):42-48

Department of Internal Medicine, University of Health Sciences, Ümraniye Training and Research Hospital, İstanbul, Türkiye

 

INTRODUCTION: There is no information in the literature examining the relationship between frailty and fracture risk. Our study used the fracture risk assessment tool (FRAX) to assess the link between frailty and fracture risk. METHODS: A single-center cross-sectional study. There were 120 patients overall who were 65 years of age or older. We assessed each patient’s frailty using the Canadian Health and ag-ing study (CHAS) Criteria. By using the FRAX, these patients’ fracture risks were identified (FRAX). Measurements were made of the amounts of albumin, parathormone, 25-hydrox-yvitamin D, calcium, and plasma. Results: Forty-two men and 78 women out of 120 patients were evaluated. Frailty and FRAX showed a substantial positive connection (p=0.01). Frailty risk was 1.228 times greater (p=0.023) in the group with a high risk of hip fracture. The risk of frailty was 2,755 times higher in the group, which is a high risk for significant osteoporotic fracture risk (p=0.027). DISCUSSION AND CONCLUSION: There is a positive relationship between frailty and risk of fracture evaluated by FRAX in individuals aged 65 years or older. Hip fracture risk and significant osteoporotic fracture risk both rise with increasing frailty.