Determinants of reduced survival following hip fractures in men

G. Poór, E. J. Atkinson, W. M. O'Fallon, L. J. Melton

Research output: Contribution to journalArticle

194 Citations (Scopus)

Abstract

To assess determinants of poor survival after hip fractures in men, a population-based cohort study was conducted among 131 men in Rochester, MN, who had their first hip fracture during the period from 1978 to 1989, and an equal number of age-matched control men from the community. One hundred nine patients with fractures died during 373 person-years of followup, but only 75 control men died during 742 person-years of observation. The risk of dying increased with the level of comorbidity among hip fracture cases (hazard ratio 3.2; 95% confidence interval, 1.2-8.2), as well as with age (hazard ratio, 1.4 per 10-year increase; 95% confidence ratio, 1.1-1.8) and mental confusion during hospitalization (hazard ratio, 4.2; 95% confidence interval, 2.5-6.9). Discharge to a nursing home and low activity status also were predictors of death in the univariate analysis. Excess mortality among men with hip fractures can be explained best by interaction of the fracture with serious underlying medical conditions.

Original languageEnglish
Pages (from-to)260-265
Number of pages6
JournalClinical Orthopaedics and Related Research
Issue number319
Publication statusPublished - 1995

Fingerprint

Hip Fractures
Survival
Confidence Intervals
Nursing Homes
Comorbidity
Hospitalization
Cohort Studies
Observation
Mortality
Population

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Poór, G., Atkinson, E. J., O'Fallon, W. M., & Melton, L. J. (1995). Determinants of reduced survival following hip fractures in men. Clinical Orthopaedics and Related Research, (319), 260-265.

Determinants of reduced survival following hip fractures in men. / Poór, G.; Atkinson, E. J.; O'Fallon, W. M.; Melton, L. J.

In: Clinical Orthopaedics and Related Research, No. 319, 1995, p. 260-265.

Research output: Contribution to journalArticle

Poór, G. ; Atkinson, E. J. ; O'Fallon, W. M. ; Melton, L. J. / Determinants of reduced survival following hip fractures in men. In: Clinical Orthopaedics and Related Research. 1995 ; No. 319. pp. 260-265.
@article{0780bd45872e47f2af62f4da81b13b18,
title = "Determinants of reduced survival following hip fractures in men",
abstract = "To assess determinants of poor survival after hip fractures in men, a population-based cohort study was conducted among 131 men in Rochester, MN, who had their first hip fracture during the period from 1978 to 1989, and an equal number of age-matched control men from the community. One hundred nine patients with fractures died during 373 person-years of followup, but only 75 control men died during 742 person-years of observation. The risk of dying increased with the level of comorbidity among hip fracture cases (hazard ratio 3.2; 95{\%} confidence interval, 1.2-8.2), as well as with age (hazard ratio, 1.4 per 10-year increase; 95{\%} confidence ratio, 1.1-1.8) and mental confusion during hospitalization (hazard ratio, 4.2; 95{\%} confidence interval, 2.5-6.9). Discharge to a nursing home and low activity status also were predictors of death in the univariate analysis. Excess mortality among men with hip fractures can be explained best by interaction of the fracture with serious underlying medical conditions.",
author = "G. Po{\'o}r and Atkinson, {E. J.} and O'Fallon, {W. M.} and Melton, {L. J.}",
year = "1995",
language = "English",
pages = "260--265",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "319",

}

TY - JOUR

T1 - Determinants of reduced survival following hip fractures in men

AU - Poór, G.

AU - Atkinson, E. J.

AU - O'Fallon, W. M.

AU - Melton, L. J.

PY - 1995

Y1 - 1995

N2 - To assess determinants of poor survival after hip fractures in men, a population-based cohort study was conducted among 131 men in Rochester, MN, who had their first hip fracture during the period from 1978 to 1989, and an equal number of age-matched control men from the community. One hundred nine patients with fractures died during 373 person-years of followup, but only 75 control men died during 742 person-years of observation. The risk of dying increased with the level of comorbidity among hip fracture cases (hazard ratio 3.2; 95% confidence interval, 1.2-8.2), as well as with age (hazard ratio, 1.4 per 10-year increase; 95% confidence ratio, 1.1-1.8) and mental confusion during hospitalization (hazard ratio, 4.2; 95% confidence interval, 2.5-6.9). Discharge to a nursing home and low activity status also were predictors of death in the univariate analysis. Excess mortality among men with hip fractures can be explained best by interaction of the fracture with serious underlying medical conditions.

AB - To assess determinants of poor survival after hip fractures in men, a population-based cohort study was conducted among 131 men in Rochester, MN, who had their first hip fracture during the period from 1978 to 1989, and an equal number of age-matched control men from the community. One hundred nine patients with fractures died during 373 person-years of followup, but only 75 control men died during 742 person-years of observation. The risk of dying increased with the level of comorbidity among hip fracture cases (hazard ratio 3.2; 95% confidence interval, 1.2-8.2), as well as with age (hazard ratio, 1.4 per 10-year increase; 95% confidence ratio, 1.1-1.8) and mental confusion during hospitalization (hazard ratio, 4.2; 95% confidence interval, 2.5-6.9). Discharge to a nursing home and low activity status also were predictors of death in the univariate analysis. Excess mortality among men with hip fractures can be explained best by interaction of the fracture with serious underlying medical conditions.

UR - http://www.scopus.com/inward/record.url?scp=0028786315&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028786315&partnerID=8YFLogxK

M3 - Article

C2 - 7554638

AN - SCOPUS:0028786315

SP - 260

EP - 265

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 319

ER -