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Archives of Osteoporosis

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01-12-2016 | Original Article

Excess mortality of 1 year in elderly hip fracture patients compared with the general population in Beijing, China

Authors: Shaoguang Li, Tiansheng Sun, Zhi Liu

Published in: Archives of Osteoporosis | Issue 1/2016

Abstract

Summary

In a rapidly aging population, hip fractures have become an important public health issue in China. Presently, there is no study on the excess mortality of hip fractures in the mainland of China. This is the first study that presents excess mortality following hip fracture in Beijing, China.

Purpose

This study aims to assess the incidence and excess mortality of hip fracture patients aged 60 years or older from a municipal population database of Beijing.

Methods

We retrieved the Beijing municipal health insurance database of 2013 to identify beneficiaries who were at least 60 years older as total population of this age group and obtained the number of mortalities in a year. Among those people, subjects who have suffered hip fractures during the year were selected and a determination of the number of deaths in this period. Annual incidence of hip fracture, mortality, and excess mortalities was calculated and stratified by gender and age.

Results

During 2013, the annual incidence of elderly hip fracture in Beijing was 0.27 % and 1-year mortality was 23.44 %. Excess mortality odds ratios of males and females in three age groups were as follows: males, 2.23 (60–69 years old, 95% CI, 1.43–3.49), 2.99 (70–79 years old, 95% CI, 2.57–3.50), and 1.90 (≥80 years old, 95% CI, 1.64–2.22 ) and females, 3.12 (60–69 years old, 95% CI, 2.04–4.79), 1.93 (70-79 years old, 95% CI, 1.64–2.27), and 1.36 (≥80 years old, 95% CI, 1.21–1.55). Pulmonary complications were the leading cause of death, which accounts for 52.27 % of all.

Conclusion

Compared with the control population, hip fractures caused approximately twofold excess mortality rate during 1 year 2014 for elderly citizens in Beijing. Future studies are needed to explore the actual mechanism to design the most effective strategies for optimizing recovery from hip fracture.

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Title: Excess mortality of 1 year in elderly hip fracture patients compared with the general population in Beijing, China
Authors: Shaoguang Li
Tiansheng Sun
Zhi Liu
Publication date: 01-12-2016
Publisher: Springer London
Published in: Archives of Osteoporosis / Issue 1/2016
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-016-0289-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Excess mortality of 1 year in elderly hip fracture patients compared with the general population in Beijing, China

Abstract

Summary

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusion

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