Mortality and complications of hip fracture in young adults

A nationwide population-based cohort study

Jeff Chien Fu Lin, Cheng Chun Wu, Chi Lo, Wen Miin Liang, Chi Fung Cheng, Chang Bi Wang, Yu Jun Chang, Hsi Chin Wu, Tsai Hsueh Leu

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: This study assessed the mortality and complications of hip fractures using in-patients aged 20-40 years from a nationwide population database in Taiwan. Methods: Subjects were selected from Taiwan's National Health Insurance Research Database for the period 2000-2008, and these subjects were followed up until the end of 2010. A total of 5,079 (3,879 male and 1,200 female) subjects were admitted for the first time with primary diagnosis of hip fracture and treated with operation. We calculated the long-term overall survival rate and complication-free rate. We also assessed the risk factors for mortality and complications. Results: The 1-month, 3-month, 6-month, 1-year, 2-year, 5-year, and 10-year complication-free rates were 98.3%, 96.2%, 94.5%, 86.8%, 80.4%, 75.3%, and 73.5% for the entire cohort, respectively. The 10-year survival rates were 93.3%, 91.8%, and 94.5% for total cases, trochanteric fracture, and cervical fracture, respectively. The 10-year complication-free rates were 73.5%, 80.5%, and 67.3% for total cases, trochanteric fracture, and cervical fracture, respectively. The risk factors for overall death were male, older age, and greater number of Charlson comorbidity index (CCI) comorbidities. The risk factors for complication were cervical fracture, and greater number of CCI comorbidities. Complications resulted in 42.83% of patients receiving internal fixation implants or prothesis removal and 2.01% underwent conversion to revision arthroplasty during follow-up. Conclusions: The overall 10-year survival rate in hip fracture patients aged 20-40 years in Taiwan was over 90%. The 10-year complication-free rates were around 70%. Preventing the occurrence of severe complications after hip fracture among young adults is an important public health issue that warrants greater attention.

Original languageEnglish
Article number362
JournalBMC Musculoskeletal Disorders
Volume15
Issue number1
DOIs
Publication statusPublished - Oct 31 2014

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Hip Fractures
Young Adult
Cohort Studies
Mortality
Comorbidity
Taiwan
Population
Survival Rate
Databases
National Health Programs
Arthroplasty
Public Health
Research

Keywords

  • Complication
  • Hip fracture
  • Mortality

ASJC Scopus subject areas

  • Rheumatology
  • Orthopedics and Sports Medicine

Cite this

Mortality and complications of hip fracture in young adults : A nationwide population-based cohort study. / Lin, Jeff Chien Fu; Wu, Cheng Chun; Lo, Chi; Liang, Wen Miin; Cheng, Chi Fung; Wang, Chang Bi; Chang, Yu Jun; Wu, Hsi Chin; Leu, Tsai Hsueh.

In: BMC Musculoskeletal Disorders, Vol. 15, No. 1, 362, 31.10.2014.

Research output: Contribution to journalArticle

Lin, Jeff Chien Fu ; Wu, Cheng Chun ; Lo, Chi ; Liang, Wen Miin ; Cheng, Chi Fung ; Wang, Chang Bi ; Chang, Yu Jun ; Wu, Hsi Chin ; Leu, Tsai Hsueh. / Mortality and complications of hip fracture in young adults : A nationwide population-based cohort study. In: BMC Musculoskeletal Disorders. 2014 ; Vol. 15, No. 1.
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abstract = "Background: This study assessed the mortality and complications of hip fractures using in-patients aged 20-40 years from a nationwide population database in Taiwan. Methods: Subjects were selected from Taiwan's National Health Insurance Research Database for the period 2000-2008, and these subjects were followed up until the end of 2010. A total of 5,079 (3,879 male and 1,200 female) subjects were admitted for the first time with primary diagnosis of hip fracture and treated with operation. We calculated the long-term overall survival rate and complication-free rate. We also assessed the risk factors for mortality and complications. Results: The 1-month, 3-month, 6-month, 1-year, 2-year, 5-year, and 10-year complication-free rates were 98.3{\%}, 96.2{\%}, 94.5{\%}, 86.8{\%}, 80.4{\%}, 75.3{\%}, and 73.5{\%} for the entire cohort, respectively. The 10-year survival rates were 93.3{\%}, 91.8{\%}, and 94.5{\%} for total cases, trochanteric fracture, and cervical fracture, respectively. The 10-year complication-free rates were 73.5{\%}, 80.5{\%}, and 67.3{\%} for total cases, trochanteric fracture, and cervical fracture, respectively. The risk factors for overall death were male, older age, and greater number of Charlson comorbidity index (CCI) comorbidities. The risk factors for complication were cervical fracture, and greater number of CCI comorbidities. Complications resulted in 42.83{\%} of patients receiving internal fixation implants or prothesis removal and 2.01{\%} underwent conversion to revision arthroplasty during follow-up. Conclusions: The overall 10-year survival rate in hip fracture patients aged 20-40 years in Taiwan was over 90{\%}. The 10-year complication-free rates were around 70{\%}. Preventing the occurrence of severe complications after hip fracture among young adults is an important public health issue that warrants greater attention.",
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T1 - Mortality and complications of hip fracture in young adults

T2 - A nationwide population-based cohort study

AU - Lin, Jeff Chien Fu

AU - Wu, Cheng Chun

AU - Lo, Chi

AU - Liang, Wen Miin

AU - Cheng, Chi Fung

AU - Wang, Chang Bi

AU - Chang, Yu Jun

AU - Wu, Hsi Chin

AU - Leu, Tsai Hsueh

PY - 2014/10/31

Y1 - 2014/10/31

N2 - Background: This study assessed the mortality and complications of hip fractures using in-patients aged 20-40 years from a nationwide population database in Taiwan. Methods: Subjects were selected from Taiwan's National Health Insurance Research Database for the period 2000-2008, and these subjects were followed up until the end of 2010. A total of 5,079 (3,879 male and 1,200 female) subjects were admitted for the first time with primary diagnosis of hip fracture and treated with operation. We calculated the long-term overall survival rate and complication-free rate. We also assessed the risk factors for mortality and complications. Results: The 1-month, 3-month, 6-month, 1-year, 2-year, 5-year, and 10-year complication-free rates were 98.3%, 96.2%, 94.5%, 86.8%, 80.4%, 75.3%, and 73.5% for the entire cohort, respectively. The 10-year survival rates were 93.3%, 91.8%, and 94.5% for total cases, trochanteric fracture, and cervical fracture, respectively. The 10-year complication-free rates were 73.5%, 80.5%, and 67.3% for total cases, trochanteric fracture, and cervical fracture, respectively. The risk factors for overall death were male, older age, and greater number of Charlson comorbidity index (CCI) comorbidities. The risk factors for complication were cervical fracture, and greater number of CCI comorbidities. Complications resulted in 42.83% of patients receiving internal fixation implants or prothesis removal and 2.01% underwent conversion to revision arthroplasty during follow-up. Conclusions: The overall 10-year survival rate in hip fracture patients aged 20-40 years in Taiwan was over 90%. The 10-year complication-free rates were around 70%. Preventing the occurrence of severe complications after hip fracture among young adults is an important public health issue that warrants greater attention.

AB - Background: This study assessed the mortality and complications of hip fractures using in-patients aged 20-40 years from a nationwide population database in Taiwan. Methods: Subjects were selected from Taiwan's National Health Insurance Research Database for the period 2000-2008, and these subjects were followed up until the end of 2010. A total of 5,079 (3,879 male and 1,200 female) subjects were admitted for the first time with primary diagnosis of hip fracture and treated with operation. We calculated the long-term overall survival rate and complication-free rate. We also assessed the risk factors for mortality and complications. Results: The 1-month, 3-month, 6-month, 1-year, 2-year, 5-year, and 10-year complication-free rates were 98.3%, 96.2%, 94.5%, 86.8%, 80.4%, 75.3%, and 73.5% for the entire cohort, respectively. The 10-year survival rates were 93.3%, 91.8%, and 94.5% for total cases, trochanteric fracture, and cervical fracture, respectively. The 10-year complication-free rates were 73.5%, 80.5%, and 67.3% for total cases, trochanteric fracture, and cervical fracture, respectively. The risk factors for overall death were male, older age, and greater number of Charlson comorbidity index (CCI) comorbidities. The risk factors for complication were cervical fracture, and greater number of CCI comorbidities. Complications resulted in 42.83% of patients receiving internal fixation implants or prothesis removal and 2.01% underwent conversion to revision arthroplasty during follow-up. Conclusions: The overall 10-year survival rate in hip fracture patients aged 20-40 years in Taiwan was over 90%. The 10-year complication-free rates were around 70%. Preventing the occurrence of severe complications after hip fracture among young adults is an important public health issue that warrants greater attention.

KW - Complication

KW - Hip fracture

KW - Mortality

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