ArticleClinical orthopaedics and related research2013
What are the factors influencing outcome among patients admitted to a hospital with a proximal humeral fracture?
Article in Clinical orthopaedics and related research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Reverse arthroplasty compared to hemiarthroplasty and open reduction and internal fixation for displaced proximal humerus fracture in patients above 60: a Bayesian network meta-analysis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Outcome after operative treatment of proximal humeral fractures in elderly patients.Zeitschrift fur Gerontologie und Geriatrie · 2016Trial
- Treatment and prognosis of proximal humerus fracture in older adults: a retrospective cohort study using health insurance claims database.BMC geriatrics · 2026Article
- Influence of Arthroplasty Type, Comorbidities, and Fracture Status on Outcomes After Shoulder Replacement: Analysis of 664,545 Cases.Healthcare (Basel, Switzerland) · 2026Article
- Construction and validation of a nomogram for blood transfusion after open reduction and internal fixation (ORIF) of proximal humeral fractures in the elderly: a cross-sectional study.BMC musculoskeletal disorders · 2024Article
- Factors affecting hospital admission, hospital length of stay and new discharge destination post proximal humeral fracture: a retrospective audit.BMC geriatrics · 2024Article
- Fracture line and comminution zone characteristics, and rotator cuff footprint involvement in OTA/AO 11C3-type proximal humeral fractures: complex proximal humerus fracture map.Archives of orthopaedic and trauma surgery · 2023Article
- Treatment Reality of Proximal Humeral Fractures in the Elderly-Trending Variants of Locking Plate Fixation in Germany.Journal of clinical medicine · 2023Article
- Proximal Humerus Fractures Treated Using Locking Plate: A Comparison Between Anatomical Reduction and Valgus Bent Locking Plate Fixation After Valgus Reduction.Indian journal of orthopaedics · 2022Article
- Article
- MORTALITY AFTER SURGICAL TREATMENT OF PROXIMAL HUMERUS FRACTURES IN OLDER PATIENTS.Acta ortopedica brasileira · 2022Article
- Analysis of predictors of mortality after surgical and non-surgical management in proximal humerus fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Non-medical patient-related factor influence in proximal humeral fracture outcomes: a multicentric study.Archives of orthopaedic and trauma surgery · 2021Article
- Proximal humeral fracture in patients with high Charlson comorbidity index: mortality rate according to treatment choice.Musculoskeletal surgery · 2021Article
- Proximal Humerus Fractures in the Elderly: Concomitant Fractures and Management.Kansas journal of medicine · 2020Article
- Association between Socioeconomic Status, Physical Health and Need for Long-term Care among the Chinese Elderly.International journal of environmental research and public health · 2019Article
- Predictors of Mortality in Elder Patients With Proximal Humeral Fracture.Geriatric orthopaedic surgery & rehabilitation · 2018Article
- Trends in incidence of proximal humerus fractures, surgical procedures and outcomes among elderly hospitalized patients with and without type 2 diabetes in Spain (2001-2013).BMC musculoskeletal disorders · 2017Observational
- Failure and revision rates of proximal humeral fracture treatment with the use of a standardized treatment algorithm at a level-1 trauma center.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2017Article
- Orthopaedic surgeons' opinions surrounding the management of proximal humerus fractures: an international survey.International orthopaedics · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFracture of the proximal humerus is common in older patients during the decline of their physical health. QUESTIONS/PURPOSES: Our purpose was to evaluate the association between specific risk factors in patients with fractures of the proximal humerus and any inpatient adverse events, mortality, and discharge to a short-term or long-term care facility.
methodsThe National Hospital Discharge Survey (NHDS) provided estimates of all adult patients who were admitted to hospitals after fractures of the proximal humerus in the United States between 1990 and 2007. The influences of sex, age, days of care, diagnosis and procedures (based on ICD-9 codes) on inpatient adverse events and death, and discharge to a short-term or long-term care facility, were studied in bivariate and multivariable analyses.
resultsAmong an estimated 867,282 patients admitted for proximal humerus fractures, 20% experienced adverse events, and 2.3% died in the hospital. Older age, concomitant femur and femoral neck fractures or head trauma, operative fracture care, congestive heart failure, and chronic alcoholism were associated with inpatient adverse events. Intubation, acute myocardial infarctions, malignancies, and skull fractures were associated with inpatient deaths. Older age, lower limb fractures, specific comorbidities (obesity, congestive heart failure, dementia), and inpatient adverse events (pneumonia, anemia treated with transfusion) were associated with discharges to short-term or long-term care facilities.
conclusionsKnowledge of risk factors for inpatient adverse events, mortality, and discharge to facilities can help make treatment decisions, improve overall care, discharge planning, and resource utilization for patients with proximal humeral fractures.
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