Mortality Rates and Forensic Causes after Hip Fracture: A Retrospective Observational Study

Document Type : RESEARCH PAPER

Authors

1 Department, Adana Seyhan State Hospital, Seyhan/Adana, Turkey

2 Special Medistanbul Hospital, MD, Orthopedic Department

3 Özel Medicabil Hastanesi, Bursa

Abstract

Objectives: Despite the widely recognised high mortality rate among patients with hip fracture, the 
variation in death rates by gender and cause has been less explored. This study aimed to investigate 
mortality rates and causes of death in patients who underwent hip fracture surgery, and to compare 
them with those of the general population. A secondary objective was to compare the result s of Internal 
Fixation versus Arthroplasty in these patients.
Methods: A population-based study collected records of 356 consecutive cases of hip fracture. For comparison 
purposes, data from the general population were also collected, which included residents of Adana city of 65 years 
and older. Causes of mortality were classified as cancer, dementia, heart disease, lung disease, and digestive 
disorders, among others. The average follow-up period was 4.2 years, ranging from 0 to 5 years.
Results: 105 (29.49%) of the surgical patients perished in one year. At the end of the follow-up, n = 308 (86.52%) 
of the hip fracture patients had died. Age-adjusted mortality rates after hip fracture surgery were higher for men than 
for women, with a risk ratio (HR) of 1.48 and a 95% confidence interval (CI) between 1.07 and 2.15. Complications 
from heart, lung, or blood vessel diseases were the leading causes of death after hip replacement surgery, followed 
by Alzheimer's disease and dementia. Men were more susceptible to respiratory diseases, cancer, and heart and 
blood vessel diseases than women. After hip fracture, both the overall mortality rate and the gender-standardised 
death rate were three times that of the general population for each cause of death.
Conclusion: During the study period, the mortality risk for hip fracture patients was three times that of the general 
population for the primary causes of death.
 Level of evidence: IV

Keywords

Main Subjects

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ABJS.2023.71767.3350
The Archives of Bone and Joint Surgery
Volume 12, Issue 11
November 2024
Pages 789-797

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History

  • Receive Date: 13 February 2024
  • Revise Date: 29 February 2024
  • Accept Date: 12 June 2024

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