Evidence map›Paper›PMID 21599967›Full record

ArticleBMC musculoskeletal disorders2011

Mortality and cause of death in hip fracture patients aged 65 or older: a population-based study.

Jorma Panula, Harri Pihlajamäki, Ville M Mattila, Pekka Jaatinen, Tero Vahlberg, Pertti Aarnio, Sirkka-Liisa Kivelä

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 273 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
273citing papers in PubMed, 8 pooled it
16.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05133648 unknown statusnot on this mapstarted 2023, after this paper: background citation

Association of Anesthesia Technique With Morbidity and Mortality in Patients With COVID-19 and Surgery for Hip Fracture: a Retrospective Population Cohort Study

TypeobservationalSponsorUniversity of British ColumbiaRan2023 to 2023Enrolled1,000ConditionsHip Fractures, COVID-19, General Anesthesia, Spinal AnesthesiaArmsHip Fracture Surgery, COVID-19 infection
NCT06162637 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

TypeinterventionalSponsorEslam Mohamed AHmedRan2024 to 2025Enrolled20ConditionsFemoral Neck FracturesArmsfemoral neck locking plate, multiple cannulated cancellous screws
NCT07027241 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Multicomponent Exercise and Nutrition Based Frailty Intervention in Postoperative Hip Fracture Inpatients

TypeinterventionalSponsorRoyal College of Surgeons, IrelandRan2025 to 2026Enrolled50ConditionsHip Fractures (ICD-10 72.01-72.2), Frailty at Older Adults, Strength Training, Resistance TrainingArmsExercise Intervention, Usual Care, Nutritional Intervention
3 · Its place in the literature

Who cites it

273 citing papers in PubMed, 8 syntheses or guidelines pooled it, 583 citations in OpenAlex.

  1. Impact of anti-osteoporosis medication on refracture prevention following osteoporotic vertebral fracture: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  2. Screw fixation versus hemiarthroplasty for undisplaced femoral neck fractures in the elderly: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
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  5. Prevalence of osteoporosis and incidence of related fractures in developed economies in the Asia Pacific region: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Pooled it
  6. Treatment modalities and outcomes following acetabular fractures in the elderly: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
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  17. Differential complication risks in diabetic and non-diabetic geriatric patients following distal femur fracture surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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213 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Jorma PanulaDepartment of Surgery, City Hospital of Pori, Pori, Finland. jorma.panula@fimnet.fi
Harri Pihlajamäki
Ville M Mattila
Pekka Jaatinen
Tero Vahlberg
Pertti Aarnio
Sirkka-Liisa Kivelä
University of Turku · FIFinnish Defence Forces · FITampere University · FIUniversity Consortium of Pori · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high mortality of hip fracture patients is well documented, but sex- and cause-specific mortality after hip fracture has not been extensively studied. The purpose of the present study was to evaluate mortality and cause of death in patients after hip fracture surgery and to compare their mortality and cause of death to those in the general population.

methodsRecords of 428 consecutive hip fracture patients were collected on a population-basis and data on the general population comprising all Finns 65 years of age or older were collected on a cohort-basis. Cause of death was classified as follows: malignant neoplasms, dementia, circulatory disease, respiratory disease, digestive system disease, and other.

resultsMean follow-up was 3.7 years (range 0-9 years). Overall 1-year postoperative mortality was 27.3% and mortality after hip fracture at the end of the follow-up was 79.0%. During the follow-up, age-adjusted mortality after hip fracture surgery was higher in men than in women with hazard ratio (HR) 1.55 and 95% confidence interval (95% CI) 1.21-2.00. Among hip surgery patients, the most common causes of death were circulatory diseases, followed by dementia and Alzheimer's disease. After hip fracture, men were more likely than women to die from respiratory disease, malignant neoplasm, and circulatory disease. During the follow-up, all-cause age- and sex-standardized mortality after hip fracture was 3-fold higher than that of the general population and included every cause-of-death category.

conclusionDuring the study period, the risk of mortality in hip fracture patients was 3-fold higher than that in the general population and included every major cause of death.

Indexed as

AgingAgedAged, 80 and overAge FactorsCause of DeathComorbidityFemaleFinlandHip FracturesHumansMaleOrthopedic ProceduresProportional Hazards ModelsRegistriesRetrospective StudiesRisk Assessment

Identifiers

PMID21599967
PMCPMC3118151
OpenAlexW2048822809

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.