Co-morbidities, complications and causes of death among people with femoral neck fracture – a three-year follow-up study

BMC Geriatrics

Research Article

Yngve Gustafson¹  Undis Englund¹  Michael Stenvall¹  Monica Berggren¹  Birgitta Olofsson² 

[1] Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden;Department of Surgical and Perioperative Sciences, Orthopaedics, Umeå University, SE-901 87, Umeå, Sweden;Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden;

关键词: Hip fracture;    Cause of death;    Complications;   

DOI  :  10.1186/s12877-016-0291-5

 received in 2016-02-16, accepted in 2016-05-23,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe poor outcome after a hip fracture is not fully understood.The aim of the study was to describe the prevalence of co-morbidities, complications and causes of death and to investigate factors that are able to predict mortality in old people with femoral neck fracture.MethodsData was obtained from a randomized, controlled trial with a 3-year follow-up at Umeå University Hospital, Sweden, which included 199 consecutive patients with femoral neck fracture, aged ≥70 years. The participants were assessed during hospitalization and in their homes 4, 12 and 36 months after surgery. Medical records and death certificates were analysed.ResultsMultivariate analysis revealed that cancer, dependence in P-ADL (Personal Activities of Daily Living), cardiovascular disease, dementia at baseline or pulmonary emboli or cardiac failure during hospitalization were all independent predictors of 3-year mortality. Seventy-nine out of 199 participants (40 %) died within 3 years. Cardiovascular events (24 %), dementia (23 %), hip-fracture (19 %) and cancer (13 %) were the most common primary causes of death. In total, 136 participants suffered at least one urinary tract infection; 114 suffered 542 falls and 37 sustained 56 new fractures, including 13 hip fractures, during follow-up.ConclusionOld people with femoral neck fracture have multiple co-morbidities and suffer numerous complications. Thus randomized intervention studies should focus on prevention of complications that might be avoidable such as infections, heart diseases, falls and fractures.

【 授权许可】

CC BY   
© The Author(s). 2016