Mortality and complications of hip fracture in young adults: a nationwide population-based cohort study

BMC Musculoskeletal Disorders

Tsai-Hsueh Leu³  Hsi-Chin Wu¹  Yu-Jun Chang²  Chang-Bi Wang⁴  Chi-Fung Cheng⁴  Wen-Miin Liang⁴  Chi Lo⁵  Cheng-Chun Wu³  Jeff Chien-Fu Lin³ 

[1] School of Medicine, China Medical University, Taichung 40402, Taiwan;Epidemiology and Biostatistics Center, Changhua Christian Hospital, Changhua 50006, Taiwan;Department of Orthopedic Surgery, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan;Department of Public Health, China Medical University, Taichung 40402, Taiwan;Department of Hospitality Management, Chung Hua University, Hsinchu 30012, Taiwan

关键词: Mortality;    Complication;    Hip fracture;   

Others  :  1118380
DOI  :  10.1186/1471-2474-15-362

 received in 2014-01-27, accepted in 2014-10-20,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Lin et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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