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High risk of fall after a fracture persists but declines over time
  1. Valentina Spedale1,2,
  2. Paolo Mazzola1,3,4
  1. 1School of Medicine and Surgery, Universita degli Studi di Milano-Bicocca, Monza, Italy
  2. 2Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy
  3. 3Acute Geriatrics Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy
  4. 4Clinical Neurosciences Research Area, Università degli Studi di Milano-Bicocca Milan Center for Neuroscience, Milano, Italy
  1. Correspondence to Professor Paolo Mazzola, School of Medicine and Surgery, Universita degli Studi di Milano-Bicocca, Monza 20900, Italy; paolo.mazzola{at}

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Commentary on: Schene MR, Wyers CE, Driessen AMH, et al. Imminent fall risk after fracture. Age Ageing 2023; 52:1-9.

Implications for practice and research

  • Adults are at imminent risk of fall after an index fracture, with a time-dependent risk pattern that is similar to the imminent risk of subsequent fractures and death.

  • Fall risk assessment is recommended in adults aged ≥50 who have experienced a fracture because early prevention strategies can reduce the risk of new falls, fractures and mortality.


Imminent fall risk can be defined similarly to imminent fracture risk, that is, a 12-month or 24-month increased risk after the index event, which declines over time.1

This study by Schene and colleagues compares the fall risk of a large cohort of adults who experienced a fracture with fracture-free matched controls, to assess whether fall risk after the index fracture is time-dependent.2


This retrospective …

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  • Funding None.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.