Sequential Bilateral Hip Fractures in Elderly Patients

Woo, Seong-Hwan; Park, Kyung-Soon; Choi, In Suck; Ahn, Young-Sub; Jeong, Dongmin; Yoon, Tae Mi

doi:10.5371/hp.2020.32.2.99

Cited by 7 publications

(5 citation statements)

References 16 publications

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“…Our investigation revealed a second fracture rate of 8.7% following hip fracture surgery, which aligns with rates reported in Korea [14] is notably lower than those observed in Finland and Spain [15,16]. These variations in the rate of second fractures can be attributed to differences in inclusion and exclusion criteria across studies.…”

Section: Discussionsupporting

confidence: 86%

Development and validation of a clinical model of second fractures for hip fracture patients after surgery

Zhang,

Zhou,

Xue

et al. 2024

Preprint

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Background Second fracture following initial hip fracture surgery poses a life-threatening risk in the elderly population. This study aims to investigate the associated risk factors and establish a prediction model. Methods Retrospectively data were obtained from two affiliated hospitals at Soochow University for older patients diagnosed with hip fractures who underwent surgical treatment between January 2019 and December 2021. The endpoint was a second fracture. Independent risk factors for second fractures in patients were identified through the least absolute shrinkage and selection operator (LASSO) regression and multivariate Cox regression. A nomogram was established and assessed for predictability, discriminatory ability, and clinical applicability using areas under the receiver operating characteristic (ROC) curves, calibration curves, and decision curve analysis (DCA) in both cohorts. Results: Among 1735 patients, 8.7% (115/1735) had second fractures within two years after surgery. Variables screened by LASSO, including age, hip joint function, neurovascular disease, eye disease, living alone, and regular exercise, were incorporated into the Cox regression model. The nomogram demonstrated favorable discriminatory ability, with areas under the ROC curves (AUC) of 0.832 (95% CI, 0.765-0.895) and 0.773 (95% CI, 0.727-0.818) after development and validation, respectively. The calibration curves showed good consistency between the actual second fracture incidence and the predicted probability. DCA of the nomogram demonstrated the model’s excellent clinical efficacy. Conclusions The nomogram model enabled accurate individualized prediction of second fractures in elderly patients within two years after surgical treatment, which might assist clinicians in precise perioperative management and rehabilitation education following initial hip surgery.

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Section: Discussionsupporting

confidence: 86%

Development and validation of a clinical model of second fractures for hip fracture patients after surgery

Zhang,

Zhou,

Xue

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…The time interval between the two hip fractures is crucial. The average reported time in literature fluctuates between 31 months and 168 months, with 2-39% occurring during the first postoperative year [ 2 , 8 - 12 , 23 ]. In accordance with the presented data, the mean time interval between the first and second hip fracture of our group of patients was 39.63±49.31 months; however, 29.62% of the patients sustained the second fracture in the first year, and 25.9% of the elderly had their second fracture during the second postoperative year.…”

Section: Discussionmentioning

confidence: 99%

“…Woo et al. [ 23 ], in their analysis, noticed that the second hip fracture in the trochanteric region occurs earlier than in the neck region (29.1 months vs. 37.4 months). Because of our small sample size, we could not investigate this relationship in our population.…”

Section: Discussionmentioning

confidence: 99%

Morbidity and Mortality After Second Hip Fracture With and Without Nursing Care Program

Solou¹,

Tyllianakis²,

Kouzelis³

et al. 2022

Cureus

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“…[11][12][13] These studies have demonstrated that being >60 years of age is a significant factor independently associated with higher mortality rates and increased postoperative complications. [14,15] In our study, we defined geriatric patients as those aged ≥60 years, utilizing the same criteria for classification.…”

Section: Study Description and Definitionsmentioning

confidence: 99%

Effects of body mass index on mortality in elderly patients with hip fractures

Park,

Lee,

Lee

et al. 2024

Medicine

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Hip fractures remain a substantial health concern, particularly among elderly individuals with osteoporosis, leading to high global mortality rates. This study aimed to analyze the association between body mass index (BMI) and postoperative mortality in patients who underwent surgery for hip fractures. A total of 680 patients treated at a single institution between January 2018 and December 2022 were included. Factors such as age, BMI, sex, Charlson Comorbidity Index (CCI), preoperative hemoglobin levels, American Society of Anesthesiologists score, anesthesia method, duration of surgery, and time from injury to surgery were assessed. Underweight status, male sex, higher CCI, and general anesthesia were significantly associated with 1-year and in-hospital mortality. Notably, underweight individuals exhibited a higher risk of mortality than normal-weight individuals, and female patients had lower mortality rates. This study underscores the importance of considering BMI, along with other demographic and clinical factors, in predicting postoperative mortality among patients with hip fractures, aiding the development of tailored management strategies to improve outcomes and reduce complications in this vulnerable patient population.

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Sequential Bilateral Hip Fractures in Elderly Patients

Cited by 7 publications

References 16 publications

Development and validation of a clinical model of second fractures for hip fracture patients after surgery

Development and validation of a clinical model of second fractures for hip fracture patients after surgery

Morbidity and Mortality After Second Hip Fracture With and Without Nursing Care Program

Effects of body mass index on mortality in elderly patients with hip fractures

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