Changes in hip fracture incidence, mortality and length of stay over the last decade in an Australian major trauma centre

Williams, Nicole; Hardy, Benjamin; Tarrant, Seth M.; Enninghorst, Natalie; Attia, John; Oldmeadow, Christopher; Balogh, Zsolt J.

doi:10.1007/s11657-013-0150-3

Cited by 32 publications

(43 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 Algengi slíkra brota eykst með aldri sem skýrist af aldurstengdri minnkun á beinþéttni og aukinni dettni. 1,2 Meðalaldur þeirra sem mjaðmarbrotna er á bilinu 80-84 ár, meðalaldur kvenna um 83 ár, karla 81 ár [3][4][5][6] og algengasta orsökin er lágorkufall. 2 Konur eru í meirihluta þeirra sem mjaðmarbrotna, eða um 70%.…”

Section: Inngangurunclassified

“…2 Konur eru í meirihluta þeirra sem mjaðmarbrotna, eða um 70%. [5][6][7] Beinþynning er töluvert algengari hjá konum en körlum 8 sem gaeti skýrt að miklum hluta hvers vegna konur mjaðmarbrotna frekar en karlar.…”

Section: Inngangurunclassified

“…Dánarhlutfall sjúklinga sem hafa mjaðmarbrotnað er töluvert haerri en í hinu almenna þýði á sama aldri. 7 Þrjátíu daga dánartíðni eftir innlögn eða aðgerð er um 8-10% 4,6 og eins árs dánartíðni milli 16-30%. 3,[22][23][24] Dánartíðnin er haerri hjá körlum en konum, 3,4,6 um 30% á móti 20% einu ári eftir brot.…”

Section: áGripunclassified

“…7 Þrjátíu daga dánartíðni eftir innlögn eða aðgerð er um 8-10% 4,6 og eins árs dánartíðni milli 16-30%. 3,[22][23][24] Dánartíðnin er haerri hjá körlum en konum, 3,4,6 um 30% á móti 20% einu ári eftir brot. 3 Tilgangur þessarar rannsóknar var að gefa yfirlit um meðferð og afdrif sjúklinga sem mjaðmarbrotna og gangast undir aðgerð á Landspítala með sérstakri áherslu á bið eftir aðgerð, búsetu eftir útskrift af sjúkrahúsi og dánartíðni einu ári eftir mjaðmarbrot.…”

Section: áGripunclassified

“…Meðallegutími sjúklinga sem bjuggu á eigin heimili fyrir brot var 14,3 dagar (± 10,3, spönn 1-51) en 3,8 (± 2,2, spönn [1][2][3][4][5][6][7][8][9][10][11][12][13][14] hjá þeim sem bjuggu á hjúkrunarheimili (p=0,001). Einungis 64 (25%) sjúklingar voru út-skrifaðir beint heim af baeklunarskurðdeild, 98 (39%) útskrifuðust á hjúkrunarheimili, 37 (15%) á annað sjúkrahús, 25 (10%) á öldrunar-deild, 12 (5%) á aðra legudeild Landspítalans og 14 (6%) á sjúkra-hótel (mynd 1).…”

Section: Niðurstöðurunclassified

See 4 more Smart Citations

Meðferð og afdrif sjúklinga með mjaðmarbrot

Magnusson¹,

Gunnarsson²,

Sigurðsson³

et al. 2016

LBL

View full text Add to dashboard Cite

Section: Inngangurunclassified

Section: áGripunclassified

Section: Niðurstöðurunclassified

See 3 more Smart Citations

Meðferð og afdrif sjúklinga með mjaðmarbrot

Magnusson¹,

Gunnarsson²,

Sigurðsson³

et al. 2016

LBL

View full text Add to dashboard Cite

The influence of weight-bearing status on post-operative mobility and outcomes in geriatric hip fracture

Tarrant

Attia

Balogh

2022

Eur J Trauma Emerg Surg

Self Cite

View full text Add to dashboard Cite

Purpose We hypothesized that unrestricted or full weight-bearing (FWB) in hip fracture would increase the opportunity to mobilize on post-operative day 1 (POD1mob) and be associated with better outcomes compared with restricted weight-bearing (RWB). Methods Over 4 years, 1514 geriatric hip fracture patients aged 65 and above were prospectively recruited. Outcomes were compared between FWB and RWB patients. The primary outcome was 30-day mortality. Secondary outcomes were immobility-related adverse events, length of stay (LOS), and reoperation for failure. Causal effect modelling and multivariate regression with mediation analyses were performed to examine the relation between weight-bearing status (WBS), POD1mob, and known mortality predictors. Results FWB was allowed in 1421 (96%) of 1479 surgically treated patients and RWB enforced in 58 (4%) patients. Mortality within 30 days occurred in 141 (9.9%) of FWB and 3 (5.2%) of RWB patients. In adjusted analysis, RWB did not influence 30-day mortality (OR 0.42, 95% CI 0.15–01.13, p = 0.293), with the WBS accounting for 91% of the total effect on mortality and 9% contributed from how WBS influenced the POD1mob. RWB was significantly related to increased DVT (OR 7.81, 95% CI: 1.81–33.71 p = 0.002) but no other secondary outcomes. Patients that did not have the opportunity to mobilize had increased 30-day mortality (OR 2.31, 95% CI 1.53–3.48 p < 0.001). Conclusion Restricted weight-bearing was not associated with increased 30-day mortality. Only a small proportion of this effect was mediated by POD1mob. Whilst post-surgical WBS may be difficult to influence for cultural reasons, POD1mob is an easily modifiable target that is likely to have a greater effect on 30-day mortality. Level of evidence Level III, observational study.

show abstract

Mortality After Hip Fracture in Austria 2008–2011

et al. 2014

View full text Add to dashboard Cite

Osteoporosis-related hip fractures represent a substantial cause of mortality and morbidity in industrialized countries like Austria. Identification of groups at high risk for mortality after hip fracture is crucial for health policy decisions. To determine in-hospital, long-term, and excess mortality after osteoporosis-related hip fracture in Austrian patients, we conducted a retrospective cohort analysis of pseudonymized invoice data from Austrian social insurance authorities covering roughly 98 % of the entire population. The data set included 31,668 subjects aged 50 years and above sustaining a hip fracture between July 2008 and December 2010 with follow-up until June 2011, and an age-, gender-, and regionally matched control population without hip fractures (56,320 subjects). Kaplan-Meier and Cox hazard regression analyses served to determine unadjusted and adjusted mortality rates: Unadjusted all-cause 1-year mortality amounted to 20.2 % (95 % CI: 19.7-20.7 %). Males had significantly higher long-term, in-hospital, and excess mortality rates than females, but younger males exhibited lower excess mortality than their female counterparts. Advanced age correlated with increased long-term and in-hospital mortality, but lower excess mortality. Excess mortality, particularly in males, was highest in the first 6 months after hip fracture, but remained statistically significantly elevated throughout the observation period of 3 years. Longer hospital stay per fracture was correlated with mortality reduction in older patients and in patients with more subsequent fractures. In conclusion, more efforts are needed to identify causes and effectively prevent excess mortality especially in male osteoporosis patients.

show abstract

Changes in hip fracture incidence, mortality and length of stay over the last decade in an Australian major trauma centre

Abstract: Despite the relative ageing of our population, a decrease in the age-standardised rate of fractured hip in elderly patients has seen the number of admissions remain unchanged in our institution from 2002 to 2011. There was a decrease in 30-day mortality, while length of stay increased.

Cited by 32 publications

References 16 publications

Meðferð og afdrif sjúklinga með mjaðmarbrot

Meðferð og afdrif sjúklinga með mjaðmarbrot

The influence of weight-bearing status on post-operative mobility and outcomes in geriatric hip fracture

Mortality After Hip Fracture in Austria 2008–2011

Contact Info

Product

Resources

About