Walter, Nike and Szymski, Dominik and Kurtz, Steve and Alt, Volker and Lowenberg, David W. and Lau, Edmund and Rupp, Markus (2023) Factors associated with mortality after proximal femoral fracture. JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY, 24 (1): 31. ISSN 1590-9921, 1590-9999
Full text not available from this repository. (Request a copy)Abstract
Proximal femoral fractures are a serious complication, especially for elderly patients. Therefore, we have aimed to answer the following research question: What is the postfracture mortality rate in the elderly population and what are associated risk factors? For this, proximal femoral fractures that occurred between 1 January 2009 and 31 December 2019 were identified from the Medicare Physician Service Records database. The Kaplan-Meier (KM) method with the Fine and Gray subdistribution adaptation was used to determine rates of mortality. A semiparametric Cox regression model was applied, incorporating 23 measures as covariates to identify risk factors. The estimated 1 year mortality rate was 26.8% after head/neck fracture, 28.2% after intertrochanteric fracture, and 24.2% after subtrochanteric fracture. Male sex, age over 70 years, chronic obstructive pulmonary disease (COPD), cerebrovascular disease, chronic kidney disease, a concomitant fracture, congestive heart failure, diabetes mellitus, hypertension, insulin use, ischemic heart disease, morbid obesity, osteoporosis, tobacco dependence, and median household income were determined as risk factors for increased mortality. An early assessment of individual risk factors accessible for therapeutic treatment is crucial in the management of proximal femur fractures to aid in attempts at reducing the high mortality apparent in the elderly US population.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; Proximal femur fractures; Mortality rate; Risk factors |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie Medicine > Abteilung für Psychosomatische Medizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Mar 2024 15:24 |
| Last Modified: | 10 Mar 2024 15:24 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59636 |
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