Patient-specific factors affecting survival following hip fractures—a 14-year follow-up study in Finland

Summary The mortality of elderly hip fracture patients is high. Eighty-five percent of all patients were followed until death. The three most protective factors for 1-year survival were ASA class; BMI; and age, and the four most protective factors for 14-year survival were age; BMI; ASA class; and s...

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Veröffentlicht in:Archives of osteoporosis 2022-12, Vol.17 (1), p.107-107, Article 107
Hauptverfasser: Tiihonen, Raine, Helkamaa, Teemu, Nurmi-Lüthje, Ilona, Kaukonen, Juha-Pekka, Kataja, Matti, Lüthje, Peter
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Sprache:eng
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Zusammenfassung:Summary The mortality of elderly hip fracture patients is high. Eighty-five percent of all patients were followed until death. The three most protective factors for 1-year survival were ASA class; BMI; and age, and the four most protective factors for 14-year survival were age; BMI; ASA class; and subtrochanteric fracture type. Objective Hip fractures are associated with increased mortality. The purpose of this study was to evaluate the protective preoperative factors regarding the survival of short-term (1 year) and long-term (14 years) follow-up in a hip fracture cohort in Finland. Methods A total of 486 patients, operated on in 2005 and 2006, were retrospectively evaluated. Survival was analyzed using Bayesian multivariate analysis and relative survival with the life table method. All patients were followed for a minimum of 14 years. Results We analyzed 330 women and 156 men, whose mean ages were 82.4 and 72.0 years, respectively. The overall mortality rate was 7% at 1 month, 22% at 12 months, and 87% at 14 years. Protective factors against mortality at 1 year were ASA class (1–3), BMI ≥ 20 kg/m 2 , age 
ISSN:1862-3522
1862-3514
DOI:10.1007/s11657-022-01148-z