Hip fractures in patients with chronic kidney disease admitted to Victorian hospitals

Area of Science:

• Epidemiology
• Nephrology
• Gerontology

Background:

• Limited epidemiological data exists on fracture incidence in Australian chronic kidney disease (CKD) patients.
• Hip fractures represent a significant health burden, particularly in older populations.

Purpose of the Study:

• To determine the incidence of hip fractures requiring hospitalization in patients with and without CKD in Victoria, Australia.
• To analyze trends in hip fracture rates and associated comorbidities over a 10-year period.

Main Methods:

• Utilized the Victorian Admitted Episodes Dataset from 2006-2015.
• Identified hip fractures and comorbidities using ICD-9 and ICD-10 codes.
• Compared fracture rates and mortality between patients with and without CKD.

Main Results:

• 7.4% of 77,076 hip fracture hospital admissions had CKD as a comorbidity.
• The proportion of hip fractures with CKD increased over the study period.
• Mortality was significantly higher in the CKD cohort, associated with diabetes and ischemic heart disease.

Conclusions:

• CKD is an important comorbidity associated with increased hip fracture hospitalization and mortality in Australia.
• Further research is warranted to investigate the mechanisms and optimal management strategies for fractures in CKD patients.