Additionally, 55 percent of the total fractures occurred during the warmest months of the year (May through October) rather than cold months (November through April) - 56 percent of indoor fractures happened in warm months, and 60 percent of outdoor fractures also happen during warm months. The most common cause for both indoor and outdoor injuries was tripping over an obstacle (the study authors found that indoors that was most likely to be a throw rug). The second most common cause of indoor injury was falling out of bed. Outdoors, the risk shifted to being struck by or falling from a vehicle, which came in second for outdoor hip injury causes, while falling on or down stairs was third. The researchers didn't account for the relative amount of time patients spent indoors or outdoors in different seasons, meaning the study doesn't present a granular, moment-by-moment risk analysis, but rather takes a bigger-picture approach. And it only examined patients treated in a northern U.S. But the findings could inform changes to the way preventive measures are taught and taken. During the first year following a hip fracture, elderly patients' chance of dying triples; the injuries increase the risk of everything from blood clots to heart failure. 




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