ArticleActa orthopaedica2016
Increased 1-year survival and discharge to independent living in overweight hip fracture patients: A prospective study of 843 patients.
Article in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses 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
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Systematic review and meta-analysis of preoperative predictors for early mortality following hip fracture surgery.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Pooled it
- Pooled it
- Inverse relation of body weight with short-term and long-term mortality following hip fracture surgery: a meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Bipolar versus monopolar hemiarthroplasty for displaced femur neck fractures: a meta-analysis study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Pooled it
- Life expectancy of older people living in aged care facilities after a hip fracture.Scientific reports · 2021Trial
- The obesity paradox and mortality after pathological hip fractures: a Swedish registry study.Acta orthopaedica · 2022Article
- Post-hip fracture rehabilitation outcomes of diabetic and non-diabetic elderly patients.Annals of medicine · 2021Article
- Impact of pathologic body composition assessed by CT-based anthropometric measurements in adult patients with multiple trauma: a retrospective analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- The Effect of Obesity on Operative Time and Postoperative Complications for Peritrochanteric Femur Fractures.Cureus · 2020Article
- The Association between High Body Mass Index and Early Clinical Outcomes in Patients with Proximal Femur Fractures.Journal of clinical medicine · 2020Article
- Post-Hip Fracture Mortality in Nursing Home Residents by Obesity Status.Journal of the American Geriatrics Society · 2019Article
- Editor's Spotlight/Take 5: Body Mass Index is Associated with All-cause Mortality After THA and TKA.Clinical orthopaedics and related research · 2018Article
- CORR Insights®: Can Patient Selection Explain the Obesity Paradox in Orthopaedic Hip Surgery? An Analysis of the ACS-NSQIP Registry.Clinical orthopaedics and related research · 2018Article
- Nutritional Status and Nutritional Treatment Are Related to Outcomes and Mortality in Older Adults with Hip Fracture.Nutrients · 2018Review
- Factors increasing mortality of the elderly following hip fracture surgery: role of body mass index, age, and smoking.Musculoskeletal surgery · 2017Article
- The Phenomenon of "Obesity Paradox" in Neck of Femur Fractures.Pakistan journal of medical sciencesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeHip fracture patients usually have low body mass index (BMI), and suffer further postoperative catabolism. How BMI relates to outcome in relatively healthy hip fracture patients is not well investigated. We investigated the association between BMI, survival, and independent living 1 year postoperatively. PATIENTS AND
methodsThis prospective multicenter study involved 843 patients with a hip fracture (mean age 82 (SD 7) years, 73% women), without severe cognitive impairment and living independently before admission. We investigated the relationship between BMI and both 1-year mortality and ability to return to independent living.
resultsPatients with BMI > 26 had a lower mortality rate than those with BMI < 22 and those with BMI 22-26 (6%, 16%, and 18% respectively; p = 0.006). The odds ratio (OR) for 1-year survival in the group with BMI > 26 was 2.6 (95% CI: 1.2-5.5) after adjustment for age, sex, and physical status. Patients with BMI > 26 were also more likely to return to independent living after the hip fracture (OR = 2.6, 95% CI: 1.4-5.0). Patients with BMI < 22 had similar mortality and a similar likelihood of independent living to those with BMI 22-26.
interpretationIn this selected group of patients with hip fracture, the overweight and obese patients (BMI > 26) had a higher survival rate at 1 year, and returned to independent living to a higher degree than those of normal (healthy) weight. The obesity paradox and the recommendations for optimal BMI need further consideration in patients with hip fracture.
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