AGE AND SEX AS DETERMINANTS OF MORTALITY AFTER HIP FRACTURE - 3,895 PATIENTS FOLLOWED FOR 2.5-18.5 YEARS

被引:113
作者
SCHRODER, HM [1 ]
ERLANDSEN, M [1 ]
机构
[1] AARHUS UNIV,CTY & MUNICIPAL HOSP,DEPT ORTHOPAED SURG,DK-8000 AARHUS,DENMARK
关键词
HIP FRACTURE; MORTALITY; AGE; SEX;
D O I
10.1097/00005131-199312000-00007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Between 1970 and 1985, a total of 3,895 persons greater-than-or-equal-to 40 years of age were treated for hip fracture in a Danish municipality. The female:male ratio was 2.7. The cumulative survival was estimated and compared with that of the age- and sex-matched general population. The analysis showed that (a) the mortality was increased compared with the expected mortality, especially during the first year (19% for women, 25% for men), but a statistically significant excess mortality could be demonstrated up to 10 years after a hip fracture; (b) the mortality increased with age, even after adjustment for the expected higher mortality of the elderly; and (c) the mortality was higher for men than for women, even after adjustment for the expected higher mortality of males. This difference was already present after the first 2 weeks among patients greater-than-or-equal-to 70 years of age.
引用
收藏
页码:525 / 531
页数:7
相关论文
共 40 条
[1]  
Alffram P.A., An epidemiologic study of cervical and trochanteric fractures of the femur in an urban population, Acta Orthop Scand, 65, pp. 40-46, (1964)
[2]  
Beals R.K., Survival following hip fracture. Long follow-up of 607 patients, J Chronic Dis, 25, pp. 235-244, (1972)
[3]  
Bredahl C., Nyholm B., Hindsholm K.B., Mortensen J.S., Olesen A.S., Mortality after hip fracture: Results of operation within 12 h of admission, Injury, 23, pp. 83-86, (1992)
[4]  
Clayer M.T., Bauze R.J., Morbidity and mortality following fractures of the femoral neck and trochanteric region: Analysis of risk factors, J Trauma, 29, pp. 1673-1678, (1989)
[5]  
Davis M., Woolner D.F., Frampton C., Et al., Prospective, multi-centre trial of mortality following general or spinal anaesthesia for hip fracture surgery in the elderly, Br J Anaesth, 59, pp. 1080-1088, (1987)
[6]  
Dixon W.D., BMDP Statistical Software, (1985)
[7]  
Eiskjaer S., Ostgard S.E., Risk factors influencing mortality after bipolar hemiarthroplasty in the treatment of fracture of the femoral neck, Clin Orthop, 270, pp. 295-300, (1991)
[8]  
Elmerson S., Zetterberg C., Ersson G.B.J., Ten-year survival after fractures of the proximal end of the femur, Gerontology, 34, pp. 186-191, (1988)
[9]  
Fisher E.S., Baron J.A., Malenka D.J., Et al., Hip fracture incidence and mortality in New England, Epidemiology, 2, pp. 116-122, (1991)
[10]  
Hedlund R., Ahlbom A., Lindgren U., Hip fracture incidence in Stockholm 1972-1981, Acta Orthop Scand, 57, pp. 30-34, (1986)