Improved survival rates after hip fracture surgery in New South Wales, 2011–2018

Harvey, Lara; Harris, Ian; Mitchell, Robert J.; Webster, Adrian; Cameron, Ian D.; Jorm, Louisa; Seymour, Hannah; Sarrami, Pooria; Close, Jacqueline C. T.

doi:10.5694/mja2.51440

Cited by 4 publications

(2 citation statements)

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“…Hip fracture mortality in Victoria was comparable to the average hip fracture mortality rate (22.0% 7.2%) across 36 countries included in a recent systematic review [ 32 ]. The stable trend in Victoria was in contrast to decreasing mortality following hip fracture surgery in New South Wales from 2011 to 2018 [ 33 ]. Moreover, more than 80% of hospitals in New South Wales, in addition to the routinely collected administrative data, participated in patient-level audits that contributed to the Australian & New Zealand Hip Fracture Registry (ANZHFR) [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Hip fracture incidence and post-fracture mortality in Victoria, Australia: a state-wide cohort study

et al. 2023

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Summary Hip fractures are a major public health concern. Number of hip fractures cases increased by 20% from 2012 to 2018. Factors associated with post-fracture mortality included men, those who are frail, living in a non-metropolitan region, or residing in a residential aged care facility. Our results are useful for planning healthcare interventions. Purpose Hip fractures are a major public health concern in Australia. Data on hip fracture incidence and mortality are needed to plan and evaluate healthcare interventions. The aims of the study were to investigate (1) the time-trend in absolute number and incidence of first hip fractures, and (2) factors associated with mortality following first hip fractures in Victoria, Australia. Methods A state-wide cohort study of all patients aged $$\ge$$ ≥ 50 years admitted to a Victorian hospital for first hip fracture between July 2012 and June 2018. Annual age-standardized incidence rates were calculated using population data from Australian Bureau of Statistics. Multivariate negative binomial regression was used to investigate factors associated with post-fracture mortality. Results Overall, 31,578 patients had a first hip fracture, of whom two-thirds were women and 47% were $$\ge$$ ≥ 85 years old. Absolute annual numbers of first hip fractures increased by 20%. There was no significant change in age- and sex-adjusted incidence. In total, 8% died within 30 days and 25% within 1 year. Factors associated with 30-day mortality included age (≥ 85 years old versus 50–64 years old, mortality rate ratio [MRR] 8.05, 95% confidence interval [CI] 5.86–11.33), men (MRR 2.11, 95% CI 1.88–2.37), higher Hospital Frailty Risk Scores (high frailty versus no frailty, MRR 3.46, 95% CI 2.66–4.50), admission from a residential aged care facility (RACF) (MRR 2.28, 95% CI 1.85–2.82), and residing in a non-metropolitan region (MRR 1.22, 95% CI 1.09–1.38). The same factors were associated with 1-year mortality. Conclusion The absolute increase in hip fractures highlights the need for interventions to reduce fracture risk, especially for those at higher risk of post-fracture mortality, including men and those who are frail, living in a non-metropolitan region, or residing in a RACF.

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Section: Discussionmentioning

confidence: 99%

Hip fracture incidence and post-fracture mortality in Victoria, Australia: a state-wide cohort study

et al. 2023

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“…In this issue of the MJA , Harvey and her colleagues 11 report a population‐based retrospective review of outcomes following 40 744 index hospitalisations with hip fracture in New South Wales during 2011–2018. Eleven in twelve patients with hip fractures underwent surgery; most of the 3450 who did not were aged 95 years or more (9%), had three comorbid medical conditions (23%), or had intertrochanteric type breaks (65%).…”

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confidence: 99%