Study shows link between institutionalization, hip fractures and death

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Study shows link between institutionalization, hip fractures and death
Danmark Seneste Nyt,Danmark Overskrifter
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A team of anthropologists has found that the skeletal remains of people who lived and died in American public care institutions in the last century have much to tell us about the connection between patient neglect and hip fractures—a connection that may well still exist today in Canada.

in Missouri and who died between 1910 and 1967. They found evidence of hip fractures in 4.3% of institutionalized individuals, almost double the 2.3% prevalence among non-institutionalized people. The work is published in the journalDeath records showed that many of these broken hips occurred from preventable accidents, such as falling out of a wheelchair, tripping on an uneven floor, slipping in a bathtub or being pushed to the ground, and death followed shortly after.

With colleagues Carlina de la Cova of the University of South Carolina in Columbia and Megan Brickley of McMaster University in Hamilton, Ont., Mant had access to a large anatomical skeletal collection housed at the Smithsonian National Museum of Natural History in Washington, D.C. It was no surprise that in both cohorts, older white women showed the greatest prevalence of hip trauma. But the finding that was most critical—and, for Mant, the most disturbing—was that of the instances of broken hips leading to death, 82% of them happened in institutions."That's what struck me the hardest—the idea that these vulnerable individuals were taken in by institutions that were obviously underfunded and understaffed and that undervalued the lives of these folks.

While anthropologists look at the past to find echoes of how it's affecting the present, Mant says in this case it's less an echo and more a direct line to what we're seeing today in many care institutions in Canada. She says that whenever she talks about this research, people will tell her about an aunt, a grandparent or other family member who suffered a hip fracture while in care, and the families are still concerned.

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