Mortality Rates and Forensic Causes after Hip Fracture: A Retrospective Observational Study | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 7، دوره 12، شماره 11، بهمن 2024، صفحه 789-797 اصل مقاله (913.55 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2024.77489.3580 | ||
| نویسندگان | ||
| Serdar Menekse* 1؛ Fatih Arslanoglu2؛ Hakan Zora3 | ||
| 1Department, Adana Seyhan State Hospital, Seyhan/Adana, Turkey | ||
| 2Special Medistanbul Hospital, MD, Orthopedic Department | ||
| 3Özel Medicabil Hastanesi, Bursa | ||
| چکیده | ||
| Objectives: Despite the widely recognised high mortality rate among patients with hip fracture, the variation in death rates by gender and cause has been less explored. This study aimed to investigate mortality rates and causes of death in patients who underwent hip fracture surgery, and to compare them with those of the general population. A secondary objective was to compare the result s of Internal Fixation versus Arthroplasty in these patients. Methods: A population-based study collected records of 356 consecutive cases of hip fracture. For comparison purposes, data from the general population were also collected, which included residents of Adana city of 65 years and older. Causes of mortality were classified as cancer, dementia, heart disease, lung disease, and digestive disorders, among others. The average follow-up period was 4.2 years, ranging from 0 to 5 years. Results: 105 (29.49%) of the surgical patients perished in one year. At the end of the follow-up, n = 308 (86.52%) of the hip fracture patients had died. Age-adjusted mortality rates after hip fracture surgery were higher for men than for women, with a risk ratio (HR) of 1.48 and a 95% confidence interval (CI) between 1.07 and 2.15. Complications from heart, lung, or blood vessel diseases were the leading causes of death after hip replacement surgery, followed by Alzheimer's disease and dementia. Men were more susceptible to respiratory diseases, cancer, and heart and blood vessel diseases than women. After hip fracture, both the overall mortality rate and the gender-standardised death rate were three times that of the general population for each cause of death. Conclusion: During the study period, the mortality risk for hip fracture patients was three times that of the general population for the primary causes of death. Level of evidence: IV | ||
| کلیدواژهها | ||
| Cause of death؛ Gender differences؛ Hip fractures؛ Long-term follow-up؛ Mortality rate | ||
| مراجع | ||
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1. Kvakkestad KM, Wang Fagerland M, Eritsland J, Halvorsen S. Gender differences in all-cause, cardiovascular and cancer mortality during long-term follow-up after acute myocardial infarction; a prospective cohort study. BMC Cardiovasc Disord. 2017; 17(1):75. doi:10.1186/s12872-017-0508-3. 2. Liu R, Zhang YN, Fei X, et al. Association between Neutrophil Levels on Admission and All-Cause Mortality in Geriatric Patients with Hip Fractures: A Prospective Cohort Study of 2,589 Patients. Int J Clin Pract. 2022; 2022:1174521. doi:10.1155/2022/1174521. 3. Han MK, Postma D, Mannino DM, et al. Gender and chronic obstructive pulmonary disease: why it matters. Am J Respir Crit Care Med. 2007; 176(12):1179-1184. doi:10.1164/rccm.200704-553CC. 4. Keret S, Braun-Moscovici Y, Yigla M, Shataylo V, Guralnik L, Balbir-Gurman A. Characteristics of interstitial lung disease in patients with systemic sclerosis during long term follow-up, single center experience. Ann Rheum Dis. 2021; 80(Suppl 1):691. doi:10.1136/annrheumdis-2021-eular.3105. 5. Konda S, Esper G, Meltzer-Bruhn A, et al. One year later: How outcomes of hip fractures treated during the “first wave” of the COVID-19 pandemic were affected. Musculoskelet Surg. 2023. doi:10.1007/s12306-023-00784-z. 6. Wallis CJ, Jerath A, Coburn N, et al. Association of Surgeon Sex with Postoperative Outcomes among Patients Who Underwent Common Surgical Procedures. JAMA Surg. 2022; 157(2):146-56. doi:10.1001/jamasurg.2022.0324. 7. Stålhammar G, See TR, Filì M, Seregard S. No Gender Differences in Long-Term Survival after Brachytherapy of 1,541 Patients with Uveal Melanoma. Ocul Oncol Pathol. 2019; 5(6):432-439. doi:10.1159/000497186. 8. Gabani R, Spione F, Arévalos V, et al. Sex Differences in 10- Year Outcomes Following Stemı: A Subanalysis from the Examınatıon-Extend Trial. JACC Cardiovasc Interv. 2022;15(19):1965-1973.1431. doi: 10.1016/j.jcin.2022.07.038. 9. Wallace M, Hammes A, Rothman M, et al. Fixing a Fragmented System: Impact of a Comprehensive Geriatric Hip Fracture Program on Long-Term Mortality. Perm J. 2018; 22:18-286. doi:10.7812/tpp/18.286. 10. Statistics tuik. Death and Cause of Death Statistics 2022. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Deathand-Causes-of-Death-Statistics-2022-49679&dil=2.Accessed June 22, 2023. 11. World Health Organization. International statistical classification of diseases and related health problems, 10th revision, Fifth edition, 2016.Available at: https://apps.who.int/iris/handle/10665/246208. 12. Manderbacka K, Arffman M, Sund R, Karvonen S. Multiple Social Disadvantage Does It Have an Effect on Amenable Mortality: A Brief Report. Int J Equity Health. 2014;13(1):67. doi:10.1186/s12939-014-0067-5. 13. Piirtola M, Vahlberg T, Löppönen M, Räihä I, Isoaho R, Kivelä SL. Fractures as Predictors of Excess Mortality in the Aged—A Population-Based Study with a 12-Year Follow-Up. Eur J Epidemiol. 2008; 23(11):747-755. doi:10.1007/s10654-008- 9289-4. 14. Marottoli R, Berkman LF, Leo-Summers L, Cooney Jr LM. Predictors of Mortality and Institutionalization after Hip Fracture: The New Haven EPESE Cohort. Am J Public Health. 1994; 84(11):1807-1812. doi:10.2105/ajph.84.11.1807. 15. Kannegaard PN, van der Mark S, Eiken P, Abrahamsen B. Excess mortality in men compared with women following a hip fracture. National analysis of comedications, comorbidity and survival. Age Ageing. 2010; 39(2):203-209. doi:10.1093/ageing/afp221 16. Jha SS, Srivastava A, Kambhampati SBS, Elhence A. Introduction to Osteoporosis, Osteomalacia, and Fragility Fractures. Indian J Orthop. 2023; 57(Suppl 1):25-32. doi:10.1007/s43465-023-01015-0. 17. Sheikh HQ, Hossain FS, Aqil A, Akinbamijo B, Mushtaq V, Kapoor H. A Comprehensive Analysis of the Causes and Predictors of 30-Day Mortality Following Hip Fracture Surgery. Clin Orthop Surg. 2017; 9(1):10-18. doi:10.4055/cios.2017.9.1.10. 18. Söderqvist A, Ekström W, Ponzer S, et al. Prediction of Mortality in Elderly Patients with Hip Fractures: A Two-Year Prospective Study of 1,944 Patients. Gerontology. 2009; 55(5):496-504. doi:10.1159/000230587. 19. Laaksonen M, Uutela A, Vartiainen E, Jousilahti P, Helakorpi S, Puska P. Development of Smoking by Birth Cohort in the Adult Population in Eastern Finland 1972-97. Tob Control. 1999; 8(2):161-168. doi:10.1136/tc.8.2.161. 20. Korfage IJ, Carreras G, Arnfeldt Christensen CM, et al. Advance Care Planning in Patients with Advanced Cancer: A 6-Country, Cluster-Randomised Clinical Trial. PLOS Med. 2020; 17(11):e1003422. doi:10.1371/journal.pmed.1003422. 21. Ramnemark A, Nyberg L, Lorentzon R, Englund U, Gustafson Y. Progressive Hemiosteoporosis on the Paretic Side and Increased Bone Mineral Density in the Nonparetic Arm the First Year after Severe Stroke. Osteoporos Int. 1999; 9(3):269-275. doi:10.1007/s001980050147. 22. Hartikainen S, Ahto M, Löppönen M, et al. Change in the Prevalence of Coronary Heart Disease among Finnish Elderly Men and Women in the 1990s. Scand J Prim Health Care. 2003; 21(3):178-181. doi:10.1080/02813430310001013. 23. Karagiannis A, Papakitsou E, Dretakis K, et al. Mortality Rates of Patients with a Hip Fracture in a Southwestern District of Greece: Ten-Year Follow-Up with Reference to the Type of Fracture. Calcif Tissue Int. 2006; 78(2):72-77. doi:10.1007/s00223-005-0169-6. 24. Barceló M, Torres OH, Mascaró J, Casademont J. Hip fracture and mortality: study of specific causes of death and risk factors. Arch Osteoporos. 2021; 16(1):15. doi:10.1007/s11657-020-00873-7. 25. Guzon-Illescas O, Perez Fernandez E, Crespí Villarias N, et al. Mortality after Osteoporotic Hip Fracture: Incidence, Trends, and Associated Factors. J Orthop Surg Res. 2019; 14(1):219. doi:10.1186/s13018-019-1226-6. 26. Lunde A, Tell GS, Pedersen AB, et al. The Role of Comorbidity in Mortality After Hip Fracture: A Nationwide Norwegian Study of 38,126 Women With Hip Fracture Matched to a General-Population Comparison Cohort. Am J Epidemiol. 2019; 188(2):398-407. doi:10.1093/aje/kwy251. 27. Firoozabadi R, Cross WW, Krieg JC, Routt MLC. Acetabular Fractures in the Senior Population- Epidemiology, Mortality and Treatments. Arch Bone Jt Surg. 2017;5(2):96-102. 28. Vosoughi AR, Hoveidaei AH, Roozbehi Z, Heydari Divkolaei SM, Zare S, Borazjani R. Patterns of Ankle Fractures Based on Radiographs and CT Images of 1000 Consecutive Patients. Arch Bone Jt Surg. 2024;12(2):128-135. doi:10.22038/ ABJS.2023.71767.3350 | ||
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