Mortality after proximal hip fracture in the Singapore population

Lin, Kuan Hung; Lim, Yeow Wai; Wu, Yini; Lam, K.S.

doi:10.5301/hip.2008.3887

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…The average age of the entire set of patients was virtually unchanged, reflecting an aging population, and was comparable with other studies [7,13,19,34,35]. Part of the European population, i.e.…”

Section: Discussionsupporting

confidence: 89%

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Single-centre study of hip fractures in Prague, Czech Republic, 1997–2007

Skála-Rosenbaum

Bartoníček

Říha

et al. 2010

International Orthopaedics (SICOT)

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This study examines the epidemiological data of patients with hip fractures from 1997-2007. Adult patients treated for hip fracture between the years 1997-2007 were included in the study. Retrospective statistical assessment of continually gathered data focussed on epidemiology and demographics. The study involved 3,683 patients (2,678 women and 1,005 men). Patients older than 70 years accounted for 82% of all cases. There were 2.7 times more women; in patients younger than 60 years men significantly outnumbered women (p < 0.001). The mean patient age was 77.9 years (SD ± 12.6; women, 80.3 years; men, 71.5 years). There was a slight increase in the average age in both sexes. Trochanteric fractures accounted for 54.7% and femoral neck fractures accounted for 45.3% of fractures. The ratio of men to women was the same in femoral neck (AO-31B) and trochanteric (AO-31A) fractures. The average year-to-year increase in the number of fractures was 5.9%. For femoral neck fractures (AO-31B), there was a statistically insignificant increase in the number of fractures (p = 0.63); for intertrochanteric factures (AO-31A3) there was a statistically insignificant decrease (p = 0.65). There was an increase in the number of hip fractures resulting in a significant increase in pertrochanteric fractures (AO-31A1+2) (p < 0.001). The ratio of trochanteric to neck fractures increased from 0.99 to 1.53. Continual monitoring of patients with hip fracture offers data which allows comparisons between regions and countries. There has been a continual increase in the number of patients with hip fractures.

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Section: Discussionsupporting

confidence: 89%

“…The ratio of femoral neck to trochanteric fractures in our group of patients can be compared with other studies [26,32,35,[39][40][41][42]. Most authors compare only the average age relative to fractures of the neck and trochanteric fractures [4,7,43].…”

Section: Discussionmentioning

confidence: 94%

Single-centre study of hip fractures in Prague, Czech Republic, 1997–2007

Skála-Rosenbaum

Bartoníček

Říha

et al. 2010

International Orthopaedics (SICOT)

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“…Owing to the limited life expectancy of elderly patients, the mortality rate associated with hip fracture as well as cost of the bipolar implant is skewed depending on which outcome measurement was used. The mortality rate in the present study for all patients is 6.8% and this has not changed significantly in the past 10 years when compared with previous local studies 13,14,15 . Nather reported 15% mortality at one year for 110 patients who underwent hip hemiarthroplasty for displaced femoral neck fractures 14 .…”

Section: Discussionsupporting

confidence: 46%

Is there a Significant Difference in Surgery and Outcomes between Unipolar and Bipolar Hip Hemiarthroplasty? A Retrospective Study of a Single Institution in Singapore

Loo¹,

Loh²,

Hc³

2011

MOJ

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Objective: The aim was to compare outcomes differences between unipolar and bipolar hip hemiarthroplasty in one institution for the local geriatric population. Methodology: A retrospective review of 291 patients aged 70 and above who underwent hip hemiarthroplasty for neck of femur fracture from February 2004 to November 2006 was performed. Results: Operative time was lower in the unipolar group. There was no statistically significant difference between the groups in terms of superficial wound infection, deep implant infection and hip dislocation. Patients who underwent unipolar hip hemiarthroplasty tended to be older and have a higher Charlson Comorbidity Score. Conclusions: The use of a bipolar endoprosthesis in the management of displaced femoral neck fractures in the elderly was associated with a shorter length of stay but higher hospitalisation bill, which was not statistically significant. However, the unipolar group were significantly older with a higher CCS score.

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“…In Singapore, the mortality rates have been shown to be around 5.7% at index admission and between 15% and 26% at 1-year. [23][24][25][26] The aims of hip fracture surgery are to prevent progression to disability and restore pre-existing functionality. 27 Singapore has an ageing population with 9% above the age of 65 years in 2010 and this is projected to increase yearly.…”

Section: Introductionmentioning

confidence: 99%

Can Preoperative Scoring Systems be Applied to Asian Hip Fracture Populations? Validation of the Nottingham Hip Fracture Score (NHFS) and Identification of Preoperative Risk Factors in Hip Fractures

Kau

Kwek²

2014

Ann Acad Med Singap

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Introduction: Hip fractures in the elderly are a major cause of morbidity and mortality. Determining which patients will benefit from hip fracture surgery is crucial to reducing mortality and morbidity. Our objectives are: 1) to define the rate of index admission, 1-month and 1-year mortality in all hip fracture patients, and 2) to apply the Nottingham Hip Fracture Score (NHFS) to determine validity in an Asian population. Materials and Methods: This is a prospective cohort study of 212 patients with hip fractures above 60 years from September 2009 to April 2010 for 1-year. Sociodemographic, prefracture comorbidity and data on functional status was collected on admission, and at intervals after discharge. The main outcome measures were mortality on index admission, 1 month and 12 months after treatment. Results: In our study, the overall mortality at 1-month and 1-year after surgery was 7.3% and 14.6% respectively. Surgically treated hip fracture patients had lower odds ratio (OR) for mortality as compared to conservatively treated ones. The OR was 0.17 during index admission, 0.17 at 1-month, and 0.18 at 12-months after discharge. These were statistically significant. Adjustments for age, gender, and duration to surgery were taken into account. The NHFS was found to be a good predictor of 1-month mortality after surgery. Conclusion: Surgically treated hip fracture patients have a lower OR for mortality than conservatively managed ones even up to 1-year. The NHFS has shown to predict 1-month mortality accurately for surgically treated hip fracture patients, even for our Asian population. It can be used as a tool for clinicians at the individual patient level to communicate risk with patients and help plan care for fracture patients. Key words: Elderly, Femur neck, Geriatric, Intertrochanteric

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Mortality after proximal hip fracture in the Singapore population

Cited by 4 publications

References 7 publications

Single-centre study of hip fractures in Prague, Czech Republic, 1997–2007

Single-centre study of hip fractures in Prague, Czech Republic, 1997–2007

Is there a Significant Difference in Surgery and Outcomes between Unipolar and Bipolar Hip Hemiarthroplasty? A Retrospective Study of a Single Institution in Singapore

Can Preoperative Scoring Systems be Applied to Asian Hip Fracture Populations? Validation of the Nottingham Hip Fracture Score (NHFS) and Identification of Preoperative Risk Factors in Hip Fractures

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