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Osteoporosis International

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01-02-2009 | Original Article

Relative survival after hospitalisation for hip fracture in older people in New South Wales, Australia

Authors: D. M. Hindmarsh, A. Hayen, C. F. Finch, J. C. T. Close

Published in: Osteoporosis International | Issue 2/2009

Abstract

Summary

Survival after hospitalisation for hip fracture by age group and sex relative to survival in the general population was assessed in people aged 65+. Men had double the risk of death compared with women to 1 year, but age effects lasted only to 3 months. Clinical outcomes need to be improved.

Introduction

We assessed the relative survival of hospitalised fall-related hip fracture patients aged 65+ years leaving hospital in New South Wales, Australia, between July 2000 and December 2003.

Method

We carried out a population-based study of all hospital separations for NSW residents with a principal diagnosis of hip fracture (ICD-10-AM S72.0 to S72.2) and first external cause of fall (ICD-10-AM codes W00 to W19), linked to NSW death data. A total of 16,836 cases were included. Relative survival 3 to 36 months post-admission by 10-year age groups and sex was calculated, using NSW life tables for 2002–2004. Relative excess risk was modelled using a generalised linear model with Poisson error structure, using the life table data.

Results

One-year cumulative relative survival in 65- to 74-year-olds was 82% (men), 90% (women); in 85+-year-olds 65% (men), 80% (women). Men have a relative excess risk of death of 2.2 (95% CI 2.03–2.38) times that of women. Only 21% of deaths mention the hip fracture as contributing to death.

Conclusion

There is a need to reduce the number of hip fractures and improve clinical outcomes for older people hospitalised with hip fractures.

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Title: Relative survival after hospitalisation for hip fracture in older people in New South Wales, Australia
Authors: D. M. Hindmarsh
A. Hayen
C. F. Finch
J. C. T. Close
Publication date: 01-02-2009
Publisher: Springer-Verlag
Published in: Osteoporosis International / Issue 2/2009
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-008-0641-z

2024 ASCO Annual Meeting

Springer Medicine

Relative survival after hospitalisation for hip fracture in older people in New South Wales, Australia

Abstract

Summary

Introduction

Method

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Summary

Introduction

Method

Results

Conclusion

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