Article

Hip fracture is the most devastating osteoporotic fracture, increasing
the risk of mortality. Recent data suggest a decrease in incidence of this fracture. Few data are available on potential changes in mortality. We studied the change of inpatient mortality from 2002 to 2008 in France. METHODS : Data were
extracted from the French Hospital National Database.
The absolute number of
inpatient mortality for hip fracture was described as well as the case fatal rate
and mortality rate adjusted on age and gender. Risk factors of inpatient
mortality were assessed by multiple regressions. RESULTS: Inpatient mortality
stay decreased from 3057 to 2350 in patients aged 40 years and over and in both
gender. Inpatient mortality stays were more important in women and increased with
age, but the case fatal rate was higher in men than in women (5.4 vs. 2.8% in
2008). During the study period, the mortality rate (per 1,000,000) varied from
132 to 88 and from 82 to 64 in women and men, respectively. In the older
patients, case fatality and mortality rates decreased significantly during the
study period. From 2008 data, age more or equal to 85 years, male gender, stay in
intensive care and existence of some chronic or acute disease, especially
cardiovascular disease, hepatic disease, renal insufficiency, and infection were
significant determinants of inpatient mortality.
CONCLUSION: Inpatient mortality
after hip fracture decreased in France between 2002 and 2008, although age, male
gender and comorbidities were identified as determinants of inpatient mortality.
CI - Copyright (c) 2010. Published by Elsevier SAS.

Langue : ANGLAIS