Parkinson’s disease and hip fractures: Are complications and mortality rates increased?

Postoperative complications, mortality, and quality of in-hospital care among hip fracture patients with Parkinson's disease

“…Some studies have reported an increased mortality after 30 days and one, five, and eight years of follow-up [ 11 , 12 , 16 , 17 ], while other studies did not conclude any difference in mortality for PD vs non-PD patients over a six-month and two-year period [ 14 , 18 ]. One of these studies [14] , however, found an absolute difference in mortality of 5% (39.3% vs 34.1%) after 2 years, which could have clinical relevance. Furthermore, the other study [18] conducted no time-toevent analysis despite investigating mortality after six months, and adjusted for different confounders (e.g., fracture type and year of admission), but not variables as age and sex like this study, which are known to influence results more.…”

“…One study found a 2.1% infection risk among PD patients versus 4.4% infection risk among non-PD patients within 2 years [14] . Regarding UTI, one study concluded a 2.5 times increased risk for uri- nary tract disorders over a 6-year period [29] , while another found no difference.…”

Letter to the Editor regarding “Parkinson's disease and hip fractures: Are complications and mortality rates increased?”

“…The article by Müller et al [1] presents interesting postoperative results in patients with Parkinson's disease (PD) and hip fractures. Although these patients are more susceptible to fractures due to higher risk of falls, this does not seem to affect recovery, as the authors evidenced no difference in postoperative complications and mortality rates within 2 years between PD and non-PD patients.…”