Hip fracture case-fatality in patients aged 65 years or older was studied in patients admitted to acute care hospitals in Catalonia over a 1-year period. 1222 femoral neck fractures and 1648 pertrochanteric fractures were identified.
Women (76.9%) were most frequently and significantly older than men.
Average age in pertrochanteric fracture was significantly higher than cervical fracture.
The overall in-hospital case-fatality rate was 6.8%. Male gender, advanced age, pertrochanteric fracture and conservative management were associated with a significantly higher case-fatality rate.
Multivariate logistic regression analyses demonstrated that previously seen associations showed univariate analysis.
However, because interaction was observed, association within fracture and case-fatality was studied separately by gender.
Men with pertrochanteric fracture showed the greatest association for in-hospital case-fatality (OR : 3.3 ; 95% CI : 2-5.5) compared with women with femoral neck fractures.
In models with in-hospital case-fatality or no autonomy at discharge or in-hospital case-fatality or no autonomy at discharge or readmission as dependent variables, the odds ratio of death for conservative management of hip fracture were 3.7 (95% CI : 2.3-6) and 3.1 (95% CI : 1.9-4.9), respectively.
This information should be taken into consideration for further analyses for long-term outcome and resource consumption by patients with hip fracture.
Mots-clés Pascal : Fracture, Col fémoral, Ostéoporose, Milieu hospitalier, Epidémiologie, Mortalité, Taux, Vieillard, Homme, Espagne, Europe, Système ostéoarticulaire pathologie, Traumatisme, Fémur, Membre inférieur
Mots-clés Pascal anglais : Fracture, Femoral neck, Osteoporosis, Hospital environment, Epidemiology, Mortality, Rate, Elderly, Human, Spain, Europe, Diseases of the osteoarticular system, Trauma, Femur, Lower limb
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0488984
Code Inist : 002B15A. Création : 03/02/1998.