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Archives of Osteoporosis

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01-12-2021 | Pneumonia | Original Article

Hip fracture and mortality: study of specific causes of death and risk factors

Authors: Montserrat Barceló, Olga Herminia Torres, Jordi Mascaró, Jordi Casademont

Published in: Archives of Osteoporosis | Issue 1/2021

Abstract

Summary

The leading causes of mortality in our study were pneumonia, diseases of the circulatory system, and dementias. In patients with hip fractures, the emphasis should be placed not only on measures to prevent falls and osteoporosis, but also on preventing functional decline and pneumonia.

Purpose

To describe the specific causes of death in patients who died up to 2 years after sustaining a hip fracture, how many of those deaths were directly related to the hip fracture, and the risk factors for mortality.

Methods

A retrospective review of the clinical data of all patients admitted with hip fractures between December 2009 and September 2015. Cause of death was classified according to the International Statistical Classification of Diseases and Related Health Problems (ICD10)

Results

In the first 2 years after hip fracture, 911 patients (32.7%) died. The leading causes of mortality were pneumonia 177 (19.4%), diseases of the circulatory system 146 (16%), and dementias 126 (13.9%). Thirty patients (3.2%) died from causes directly related to hip fracture or surgery. Mortality risk factors with a higher relative risk were advanced age, male sex, higher comorbidity, delirium, and medical complications during admission.

Conclusions

Pneumonia and circulatory system diseases were the commonest causes of death in our study. In patients with hip fractures, emphasis should be placed on preventing functional decline and pneumonia. In a few patients, death was directly related to the hip fracture, although decompensation of chronic illness as a result of hip fracture and fracture-related functional decline may have been indirect causes. Patients with worse conditions at admission had the highest risk of mortality.

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Title: Hip fracture and mortality: study of specific causes of death and risk factors
Authors: Montserrat Barceló
Olga Herminia Torres
Jordi Mascaró
Jordi Casademont
Publication date: 01-12-2021
Publisher: Springer London
Keyword: Pneumonia
Published in: Archives of Osteoporosis / Issue 1/2021
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-020-00873-7

At a glance: The STEP trials

Springer Medicine

Hip fracture and mortality: study of specific causes of death and risk factors

Abstract

Summary

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusions

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