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European Journal of Orthopaedic Surgery & Traumatology

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Open Access 01-07-2019 | Dementia | Original Article • HIP - TRAUMA

Short-term risk factors for a second hip fracture in a UK population

Authors: Hassaan Q. Sheikh, Fahad S. Hossain, Sayeed Khan, Mohammad Usman, Harish Kapoor, Adeel Aqil

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2019

Abstract

Introduction

A hip fracture carries significant morbidity and mortality—a second fracture of the contralateral hip carries even higher complications. Most second hip fractures occur within 48 months of the first. The aim of this study was to comprehensively analyse all identifiable variables that may increase the risk of a contralateral hip fracture within this time period.

Methods

We retrospectively analysed 1242 consecutive patients with hip fractures presenting to our institution. All patient-related, surgery-related and inpatient variables were collected from the index admission. We then identified patients with a subsequent contralateral hip fracture in the following 2 years. Univariate and multivariate analyses were performed to identify risk factors associated with a second fracture.

Results

A total of 66 patients (5.3%) had a contralateral hip fracture in the 2 years following initial hip fracture. Mean age at first presentation was 81 years, and mean time to second fracture was 305 days. Following multivariate analysis, the patients at highest risk of a second fracture were those with dementia, acute inpatient chest infection, urinary tract infection and multiple comorbidities as measured by the Charlson score. Discharge destination after initial fracture was not associated with the risk of a second fracture.

Conclusions

We have identified a number of discrete risk factors that are associated with a short- to medium-term risk of contralateral hip fracture that may be useful in screening for patients at risk and provide them with focused medical rehabilitation.

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Title: Short-term risk factors for a second hip fracture in a UK population
Authors: Hassaan Q. Sheikh
Fahad S. Hossain
Sayeed Khan
Mohammad Usman
Harish Kapoor
Adeel Aqil
Publication date: 01-07-2019
Publisher: Springer Paris
Keywords: Dementia
Osteoporosis
Osteoporosis
Dementia
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02412-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Short-term risk factors for a second hip fracture in a UK population

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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