ArticleActa orthopaedica2015
Increased mortality after upper extremity fracture requiring inpatient care.
Article in Acta orthopaedica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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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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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.
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Who cites it
21 citing papers in PubMed, 42 citations in OpenAlex.
- Surgery with locking plate or hemiarthroplasty versus nonoperative treatment of 3-4-part proximal humerus fractures in older patients (NITEP): An open-label randomized trial.PLoS medicine · 2023Trial
- How does the level of care change after proximal humeral fracture in older patients? A propensity score matching analysis.European geriatric medicine · 2026Article
- In older adults undergoing surgical fixation or arthroplasty following upper limb fractures, does frailty predict post-operative complications and mortality? A systematic review and meta-analysis.JSES reviews, reports, and techniques · 2026Review
- Treatment and prognosis of proximal humerus fracture in older adults: a retrospective cohort study using health insurance claims database.BMC geriatrics · 2026Article
- Major Upper-Extremity Fractures in Older Adults: Predictors of 5-Year Mortality.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Geriatric-Typical Characteristic Complexes Predict Short-Term Outcome of Proximal Humeral Fractures in Geriatric Patients.Clinical interventions in aging · 2026Article
- Increased all-cause mortality following proximal humerus fractures in Danish adults: a register-based matched cohort study of 93,952 fracture cases and 469,760 controls.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Association of trauma classifications to long-term outcome in blunt trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Mortality and subsequent fractures of patients with olecranon fractures compared to other upper extremity osteoporotic fractures.Shoulder & elbow · 2024Article
- Multiscale morphological analysis of bone microarchitecture around Mg-10Gd implants.Bioactive materials · 2023Article
- Hydroxyapatite Incorporated with FeACS omega · 2023Article
- Adverse events are not increased by controlled delay in surgery of acute upper extremity fractures.Scientific reports · 2023Article
- Exploring Goals and Functional Changes in Reablement for People with Fractures and People with Dizziness and Balance Problems.Journal of multidisciplinary healthcare · 2023Article
- Mortality after Sustaining Skeletal Fractures in Relation to Age.Journal of clinical medicine · 2022Article
- MORTALITY AFTER SURGICAL TREATMENT OF PROXIMAL HUMERUS FRACTURES IN OLDER PATIENTS.Acta ortopedica brasileira · 2022Article
- Hydrothermally treated titanium surfaces for enhanced osteogenic differentiation of adipose derived stem cells.Materials science & engineering. C, Materials for biological applications · 2021Article
- Impact of osteoporotic fracture type and subsequent fracture on mortality: the Tromsø Study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Mortality after osteoporotic hip fracture: incidence, trends, and associated factors.Journal of orthopaedic surgery and research · 2019Observational
- Mortality After Complex Displaced Proximal Humerus Fractures in Elderly Patients: Conservative Versus Operative Treatment With Reverse Total Shoulder Arthroplasty.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
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeIncreased mortality after hip fracture is well documented. The mortality after hospitalization for upper extremity fracture is unknown, even though these are common injuries. Here we determined mortality after hospitalization for upper extremity fracture in patients aged ≥16 years. PATIENTS AND
methodsWe collected data about the diagnosis code (ICD10), procedure code (NOMESCO), and 7 additional characteristics of 5,985 patients admitted to the trauma ward of Central Finland Hospital between 2002 and 2008. During the study, 929 women and 753 men sustained an upper extremity fracture. The patients were followed up until the end of 2012. Mortality rates were calculated using data on the population at risk.
resultsBy the end of follow-up (mean duration 6 years), 179 women (19%) and 105 men (14%) had died. The standardized mortality ratio (SMR) for all patients was 1.5 (95% CI: 1.4-1.7). The SMR was higher for men (2.1, CI: 1.7-2.5) than for women (1.3, CI: 1.1-1.5) (p < 0.001). The SMR decreased with advancing age, and the mortality rate was highest for men with humerus fractures.
interpretationIn men, the risk of death related to proximal humerus fracture was even higher than that reported previously for hip fracture. Compared to the general population, the SMR was double for humerus fracture patients, whereas wrist fracture had no effect on mortality.
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