Incidence and excess mortality of hip fracture in young adults: A nationwide population-based cohort study

Tsai Hsueh Leu, Wei Chun Chang, Jeff Chien Fu Lin, Chi Lo, Wen Miin Liang, Yu Jun Chang, Dann Pyng Shih, Cheng Chun Wu, Chi Fung Cheng, Sy Jye Wei

研究成果: 雜誌貢獻文章同行評審

6 引文 斯高帕斯(Scopus)

摘要

Background: This study assessed the incidence and excess mortality of hip fractures among inpatients aged 20-40 years in a nationwide population database in Taiwan. Methods: Subjects were selected from Taiwan's National Health Insurance Research Database for the period 2001-2008 and were followed up until the end of 2010. A total of 4,523 subjects were admitted for the first time with primary diagnosis of hip fracture and treated with operation. Results: The overall annual incidence, mortality, and standardized mortality ratio (SMR) decreased from 7.68 to 7.23 per 100,000, from 1.37 % to 0.94 %, and from 9.06 to 6.71, respectively, from 2001 to 2008. The 1-year, 2-year, 3-year, 5-year, and 10-year mortality rates were 1.28 %, 2.44 %, 3.54 %, 5.32 %, and 10.50 %, respectively for the whole cohort. The 1-year, 2-year, 3-year, 5-year, and 10-year SMRs were 8.33, 7.59, 7.28, 6.39, and 5.82, respectively, for the whole cohort. Risk factors for overall death were male gender, trochanteric fracture, hemiarthroplasty, and higher Charlson comorbidity index (CCI) scores. Conclusions: The high SMRs found in the present study suggest that young adults with former hip fracture should be closely followed up to prevent early mortality.

原文英語
文章編號326
期刊BMC Musculoskeletal Disorders
17
發行號1
DOIs
出版狀態已發佈 - 八月 5 2016

ASJC Scopus subject areas

  • 風濕病
  • 骨科和運動醫學

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