Related Experiment Videos
[Mortality after hip fracture: a three year follow-up study]
August Brossa Torruella1, Joan Tobias Ferrer, José Zorrilla Ribeiro
1Centro de Atención Primaria Plaça Catalunya, Equipo de Atención Primaria Manresa-2, Manresa, Barcelona, Spain. cap.pl.catalunya@manresa.scs.es
Insights
Hip fractures significantly increase mortality risk. Patients with hip fractures had a 40% mortality rate after three years, compared to 16.5% in controls, highlighting the fracture
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Epidemiology
Context:
- Hip fractures are a significant health concern in older adults.
- High morbidity and mortality rates are associated with hip fractures.
- Understanding long-term outcomes is crucial for patient management.
Purpose:
- To determine the 3-year mortality rate in patients with hip fractures.
- To compare mortality rates between hip fracture patients and a control group.
- To identify independent risk factors for mortality after hip fracture.
Summary:
- A cohort study compared 194 hip fracture patients with 184 controls over 3 years.
- Mortality was 40% in hip fracture cases versus 16.5% in controls (adjusted RR=3.9).
- Independent predictors of mortality included age, heart failure, neoplasia, dementia, and hip fracture.
Impact:
- Hip fractures are independently associated with a substantially increased risk of mortality.
- Findings underscore the need for comprehensive care and risk factor management post-hip fracture.
- Results inform clinical practice and public health strategies for fracture prevention and patient outcomes.
Background And Objective:
We designed this study to know the mortality rate of hip fractures after 3 years of follow-up.
Patients And Method:
We admitted 194 patients with hip fractures (cases) from our reference hospitals and 184 without hip fractures (control) who were selected from an ambulatory health centre. After 3 years, morbidity and mortality causes were analyzed using medical records.
Results:
Mortality rate in cases was 40% compared with only 16.5% in patients without hip fracture (control group) (p = 0.000; non adjusted RR = 2.4; adjusted RR = 3.9). In the multivariant analysis, age (RR = 1.1), heart failure (RR = 2.5), neoplasia (RR = 3.5), dementia (RR = 5) and hip fracture were independently associated with mortality after 3 years of follow-up.
Conclusions:
Patients with hip fracture showed a higher mortality (24%) than those without hip fracture after 3 years of follow-up.