ArticleInternational orthopaedics2014
Epidemiology of osteoporotic hip fractures in Western Romania.
Article in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- Validation of Operational Definition to Identify Patients with Osteoporotic Hip Fractures in Administrative Claims Data.Healthcare (Basel, Switzerland) · 2022Article
- Mortality rates and risk factors after low-trauma hip fracture in the largest university center in Romania.Archives of osteoporosis · 2021Article
- Estonian hip fracture data from 2009 to 2017: high rates of non-operative management and high 1-year mortality.Acta orthopaedica · 2019Article
- Changing trends in the mortality rate at 1-year post hip fracture - a systematic review.World journal of orthopedics · 2019Article
- Cross-cultural adaptation and validation of a patient-reported hip outcome score.International orthopaedics · 2018Article
- Case series of patients with pathological dyaphiseal fractures from metastatic bone disease.International orthopaedics · 2017Article
- The variability of vertebral body volume and pain associated with osteoporotic vertebral fractures: conservative treatment versus percutaneous transpedicular vertebroplasty.International orthopaedics · 2017Article
- Subsequent contralateral hip fractures: can at-risk patients be identified? An observational study of 5,102 patients.International orthopaedics · 2015Observational
- Osteoporotic Hip Fracture Incidence Rates in the Main Urban Area of Romania.Acta endocrinologica (Bucharest, Romania : 2005)Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeFragility hip fractures represent a major health and social burden. To date, there are no reports regarding mortality and factors that influence outcomes after osteoporotic hip fractures in Romania. MATERIAL AND
methodsThe electronic database of the largest healthcare provider in the western part of the country was searched for hip fracture admissions between 2008 and 2012. Inclusion criteria were age over 55 and the diagnosis of intra or extracapsular fractures, corresponding to ICD-10 S72.0 and S72.1 codes, respectively.
resultsA total of 1,866 patients met the criteria and were selected for data analysis. The gain in rates and crude numbers was caused mainly by a rise of fractures in males. The opposite is seen for the female-to-male ratio. Even though the mean age steadily increased for a total of 1.5 over a five-year period the patients are still younger than the European averages, which might explain the slightly better one-year survival. The age-gender adjusted hip fracture incidence increased dramatically with age, especially in women. The relative risk of dying in the first year is 1.359 times higher if the fracture is extracapsular (95% CI 1.12-1.65). In total, 21.1% of all patients die by one year after the fracture. This was drastically reduced for the following years. The survival function is significantly dependent on age group, level of fracture and time from hospital admission until surgery (p < 0.001).
conclusionsIncreased age, extracapsular fractures and delayed surgery have worse outcomes. Regarding gender, even if not significant at the 0.05 level, probability of survival for females is higher for all time intervals. Updated, regional studies could be used in patient management to improve outcomes whilst decreasing costs.
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