Change in long-term mortality associated with fractures of the hip

Abstract

We investigated the excess mortality risk associated with fractures of the hip. Data related to 29 134 patients who underwent surgery following a fracture of the hip were obtained from the Scottish Hip Fracture Audit database. Fractures due to primary or metastatic malignancy were excluded. An independent database (General Register Office (Scotland)) was used to validate dates of death. The observed deaths per 100 000 of the population were then calculated for each group (gender, age and fracture type) at various time intervals up to eight years. A second database (Interim Life Tables for Scotland, Scottish Government) was then used to create standardised mortality ratios. Analysis showed that mortality in patients aged > 85 years with a fracture of the hip tended to return to the level of the background population between two and five years after the fracture. In those patients aged < 85 years excess mortality associated with hip fracture persisted beyond eight years. Extracapsular hip fractures and male gender also conferred increased risk.

Reducing mortality in hip fracture patients using a perioperative approach and “Patient- Centered Medical Home” model: a prospective cohort study

“…Future larger-scale studies should help to better define the optimal patient population for such programs and refinements that would provide further benefits for patients undergoing hip fracture surgery. We note that, while we found more published estimates of 1-year mortality than 6-month mortality, our control group's 6-month and 12-month mortality rates of 26 and 30%, respectively, appear to be consistently in the range of the published findings of Johnston et al [29] and others who have followed operative treatment of hip fractures.…”

High short-term and long-term excess mortality in geriatric patients after hip fracture: a prospective cohort study in Taiwan

“…In the present study, the short-term and long-term morality rates in the hip fracture population were 12.4% and 25.3%, respectively. Both rates were somewhat lower than almost all those previously reported, which might be up to 50% and 52%, respectively [8-12,16,27]. The difference might be explained by better care in a medical center like our hospital, in which the patients received high quality care given by experts from a wide range of medical specialities.…”

“…Some other studies that did adjust for the potential risk factors found that hip fracture was statistically significant for long-term excess mortality [18,35-37], while others had an opposite finding. [13,14,27]. All of these studies used secondary data from the disease registry, hospital records, or data that were not originally collected for the purpose of studying excess mortality.…”

Vitamin D serum levels are associated with handgrip strength but not with muscle mass or length of hospital stay after hip fracture

“…The worldwide annual rate of hip fractures has been projected to increase from 1.66 million in 1990 to 6.26 million in the year 2050 [5,6]. Hip fractures have a great effect on patient independence, resulting in nursing home stays, increased mortality and lower quality of life [7,8]. Although an increased elderly population is the most important risk factor for osteoporotic fractures, the identification of modifiable risk factors is extremely important.…”