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KMID : 1024720180080010079
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Geriatric Rehabilitation
2018 Volume.8 No. 1 p.79 ~ p.86
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Hip Fractures in Patients with Parkinson's Disease
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Kim Eun-Suk
Kim Chang-Hwan
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Abstract
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Objective: Patients with Parkinson’s disease (PD) had a higher risk of hip fracture due to fall and higher mortality than age-sex matched general population. We perfomded a study to identify the characteristics of patients with PD and important factors related to hip fracture and the status of treatment for prevention of fracture. So, We investigated the following studies: 1. Characteristics of PD patients with type of hip fractures, 2. Relationship between types of hip fracture and the degree of bone loss, the body mass index (BMI), 3. Relationship between the severity of PD and Bone mineral density (BMD), 4. Clinical status of osteoporosis management.
Methods: Data on patients with PD was collected from Jan, 2002 to Jan, 2017. The data used KCD-6 (Korean Standard Classification of Diseases) for its diagnostic code and it was obtained using G20 for PD and S72 for hip fracture. Finally, 31 patients were included in the study.
Results: Femur neck fracture was the most common type of hip fracture (51.6%). Neck fracture had a higher proportion of obesity (25% vs. 15.4%) than intertrochanteric fracture, and intertrochanteric fracture had higher proportion of osteoporosis (92.3% vs 62.5%) than neck fracture. As the stages of PD advances, the degree of BMD get worse. At the time of diagnosis of the hip fracture, only 22.5% of patients had taken osteoporosis medicine and the number of patients receiving postoperative rehabilitation was less than 30% of the total patients.
Conclusion: For prevention of fall related hip fracutre in patients with PD, not only the diagnosis and pharmacologic treatment of osteoporosis but also physical rehabilitation should be taken into consideration to both medical staffs and patients
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KEYWORD
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Bone mineral density (BMD), Hip fracture, Osteoporosis, Parkinson’s disease
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