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  11. Subsequent Fracture Risk After Hip Fracture Surgery In China: A Three-year Retrospective Cohort Study.

Subsequent fracture risk after hip fracture surgery in China: a three-year retrospective cohort study.

Yuan Yuan1,2, Meng Zhang2,3, Ping-Yang Li4

  • 1Department of Geriatrics, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.

BMC Geriatrics
|December 11, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Subsequent fractures in older Chinese hip fracture patients show an 11.3% incidence within three years. Risk factors include nonlinear age dynamics peaking at 90 years, dementia, recent falls, and autumn fractures.

Area of Science:

  • Geriatric Medicine
  • Orthopedic Surgery
  • Public Health

Background:

  • Hip fractures are a significant concern for older adults, leading to increased morbidity and mortality.
  • Understanding subsequent fracture risk is crucial for improving patient outcomes and reducing healthcare burdens.

Purpose of the Study:

  • To characterize subsequent fractures in Chinese older adults post-hip fracture surgery.
  • To identify risk factors associated with these subsequent fractures.

Main Methods:

  • Retrospective cohort study of patients aged 60+ undergoing hip fracture surgery in Beijing (2016-2018).
  • 3-year postoperative follow-up data collected to identify subsequent fractures.
  • Analysis included Cox regression to determine risk factors.
Keywords:
Follow-upHip fractureOsteoporosisRisk factors

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Main Results:

  • 11.3% cumulative incidence of subsequent fractures within 3 years among 1,714 patients.
  • Higher risk in females, older age, lower BMI, history of falls, and cognitive impairment/dementia.
  • Inverted U-shaped age-risk relationship with peak risk at 90 years; dementia, recent falls, and autumn fractures were independent risk factors.

Conclusions:

  • Subsequent fracture risk in this cohort is influenced by nonlinear age dynamics, modifiable factors like dementia and falls, and seasonal vulnerability.
  • Implementing tailored fracture liaison services is essential to reduce fragility and subsequent fractures in vulnerable populations.
Subsequent fractures