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Saoussen Zrour1, Siwar Belhaj Salem2, Narimane Ben Chekaya1
1Rheumatology Department, Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir, University of Monastir, Tunisia.
Objectives:
To evaluate survival after osteoporotic fractures of the upper femur and determine its associated factors.
Methods:
Cross-sectional study of patients hospitalized for fractures of the upper end of the femur during 2020 at Monastir University Hospital. Outcome was determined up to 2 years. The Kaplan-Meier curve is used for survival analysis.
Results:
Eighty one patients with mean age of 77.46 ± 17,36 years and a sex ratio of 0.61 were evaluated. The femoral neck fracture was observed in54% of cases. Overall survival was 84.6% at 6 months, 75.4% at 1 year and 63.4% at 2 years. Median survival was 30 months. Patients older than 75 years had a shorter survival (68% versus 83% at one year and 55% versus 72% at 2 years ; p < 10-3).
Conclusion:
The osteoporotic fracture of the upper femur is serious due to its severe outcome. One-year mortality was aboutt 25%. Increased mortality was associated to elderly population.