Mortality after osteoporotic hip fracture: Incidence, trends, and associated factors
Journal of Orthopaedic Surgery and Research Jul 12, 2019
Guzon-Illescas O, et al. - Through a retrospective cohort study of 3,992 patients older than 45 who had an osteoporotic hip fracture (a dominant health problem due to heightened mortality, morbidity, and functional influence in these patients as well as the economic cost for the National Health System) between 1999 and 2015, the experts assessed incidence, trends, and factors correlated with mortality in such individuals. Out of 3,992 patients, 3,109 were women, 803 were men. The cumulative incidence of mortality was 69.38% and the cumulative mortality rate for 12 months was 33%. The 1-year mortality rate rose markedly by 2% per year. The median overall survival was observed as 886 days. The possibility of mortality density for a period of 10 years after a hip fracture was 16% and 25% for women and for men, respectively. Age over 75, masculine, institutionalization, mild to severe liver disease, chronic kidney disease, chronic obstructive pulmonary disease, dementia, heart failure, diabetes, the Charlson Index >2, vision disorders and hearing impairment, incontinence, and Downton scale were the variables that exhibited a statistically meaningful correlation with mortality. Hence, an elevation in mortality for subjects with hip fractures and a greater mortality rate in men than in women were recognized, for the last 17 years. Moreover, an association of institutionalization combined with comorbidities with greater mortality was discovered.
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