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Mortality and morbidity after hip fractures
G S Keene1, M J Parker, G A Pryor
1Department of Orthopaedic and Trauma Surgery, Addenbrooke's Hospital, Cambridge.
BMJ (Clinical Research Ed.)
|November 13, 1993
Summary
Extracapsular proximal femoral fractures are linked to higher one-year mortality and greater morbidity compared to intracapsular fractures. This highlights the persistent burden of these fractures on healthcare services.
Area of Science:
- Orthopedic Surgery
- Geriatric Medicine
- Trauma Care
Background:
- Proximal femoral fractures, commonly known as hip fractures, represent a significant health challenge, particularly in an aging population.
- These fractures are associated with substantial mortality and morbidity, impacting patient independence and healthcare resource utilization.
Purpose of the Study:
- To investigate the mortality and morbidity associated with proximal femoral fractures.
- To compare outcomes based on fracture type: intracapsular versus extracapsular.
Main Methods:
- A consecutive prospective study was conducted over 12 months.
- Data were collected from 1000 acute proximal femoral fractures in 972 patients across two British trauma centers.
Main Results:
- One-year mortality was significantly higher in patients with extracapsular fractures (38%) compared to intracapsular fractures (29%; p < 0.01).
- Patients with extracapsular fractures experienced greater morbidity, including reduced mobility and independence.
Conclusions:
- The increasing age of patients with proximal femoral fractures correlates with high, persistent mortality and morbidity rates.
- Extracapsular fractures present a greater challenge, contributing to the ongoing burden on healthcare services despite advancements in care.