Morbidity and Mortality in Jeju Residents over 50-Years of Age with Hip Fracture with Mean 6-Year Follow-Up: A Prospective Cohort Study

Abstract

This prospective cohort study was performed to estimate the morbidity and mortality with 790 patients over 50-yr of age that sustained a femoral neck or intertrochanteric fracture from 2002 to 2006, followed-up for a mean of 6 yr (range, 4 to 9 yr). Crude and annual standardized mortality ratios (SMRs) were calculated; and mortalities in the cohort and the age and sex matched general population were compared. The risk factors on mortality and activities pre- and post-injury were assessed. Accumulated mortality was 16.7% (132 patients) at 1 yr, 45.8% (337 patients) at 5 yr, and 60% (372 patients) at 8 yr. SMR at 5 yr post-injury was 1.3 times that of the general population. Multivariate analysis demonstrated that age (OR, 1.074; 95% CI, 1.050-1.097; P<0.001), woman (OR, 1.893; 95% CI, 1.207-2.968; P=0.005), and medical comorbidity (OR, 1.334; 95% CI, 1.167-1.524 P<0.001) were independently associated with mortality after hip fracture. Only 59 of the 150 patients (39.3%) who were able to ambulate normally outdoors at preinjury retained this ability at final follow-up. Patients with a hip fracture exhibits higher mortality at up to 5 yr than general population. Age and a preinjury comorbidity are associated with mortality.

Health-related Quality of Life in Accordance with Fracture History and Comorbidities in Korean Patients with Osteoporosis

“…Osteoporosis accompanied by osteoporotic fractures is notorious health problems and cause factors that degenerates quality of life (QOL) such as high mortality, decreased activity, and serious socioeconomic burden. [123] Although the mortality rate after osteoporotic fractures is either decreasing or maintaining a steady trend, residual disability after a fracture is still remains a major concern. [234]…”

Ellenoldali csípőtáji törésekkel összefüggő halálozás és kockázati tényezőinek vizsgálata

“…Park és mtsai [11] az 50 év feletti szekunder csípőtáji töröttek esetén az egy éven belüli halálozást 15,2%-nak találták, amelyet hasonlónak ítélték meg Lee és mtsai [26] által a primer csípőtáji töröttek esetében talált 16,7%-os egy éven belüli halálozással. Vizsgálatuk a dél-koreai lakosság 1,1%-át érintette.…”

Current trends and future projections of hip fracture in South Korea using nationwide claims data

“…Osteoporosis-related fractures are a significant medical burden that contributes to socioeconomic burdens among societies. Hip fractures are a particularly major health concern, more serious than other osteoporotic fractures in the elderly because of increased morbidity [1,2], loss of independence [1], excess mortality [2], and serious economic burden [3].…”