Evidence map›Paper›PMID 27260196›Full record

Trial reportBMC geriatrics2016

Co-morbidities, complications and causes of death among people with femoral neck fracture - a three-year follow-up study.

Monica Berggren, Michael Stenvall, Undis Englund, Birgitta Olofsson, Yngve Gustafson

3 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2016. 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 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% 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.

NCT03130673 completednot on this map

Hip Fracture Epidemiology at Hospital Regional Rafael Hernandez. September 2014 to March 2015.

TypeobservationalSponsorHospital del Niño "Dr. José Renán Esquivel"Ran2014 to 2017Enrolled104ConditionsHip Fractures
NCT06760949 nacompletednot on this mapstarted 2023, after this paper: background citation

A Single Center Prospective Controlled Study of Direct Anterior Approach and Posterior Lateral Approach in the Treatment of Femoral Neck Fractures in Elderly Patients

TypeinterventionalSponsorFujian Provincial HospitalRan2023 to 2025Enrolled102ConditionsFunction, PainArmsDirect anterior approach hemiarthroplasty, Posterior lateral approach hemiarthroplasty
NCT07389291 nacompletednot on this mapstarted 2025, after this paper: background citation

Effectiveness of Liuzijue and Box Breathing Techniques on Inspiratory Capacity and Blood Pressure Following Femoral Neck Fracture Immobilization: A Retrospective Comparative Study

TypeinterventionalSponsorSaveetha UniversityRan2025 to 2025Enrolled40ConditionsFemoral Neck Fractures, Breathing Exercises, Inspiratory Capacity, Blood PressureArmsLiuzijue Qi Gong Exercise, Box Breathing Technique
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021
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  11. Chronic comorbidities and risk of 30-day mortality in hip fracture patients- a Danish National patient registry study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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  20. What do hip fracture patients die from?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Review
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

5 authors at 1 institution in 1 country.

Monica BerggrenDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden. monica.langstrom@umu.se.
Michael StenvallDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden.
Undis EnglundDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden.
Birgitta OlofssonDepartment of Surgical and Perioperative Sciences, Orthopaedics, Umeå University, SE-901 87, Umeå, Sweden.
Yngve GustafsonDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden.
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe poor outcome after a hip fracture is not fully understood. The aim of the study was to describe the prevalence of co-morbidities, complications and causes of death and to investigate factors that are able to predict mortality in old people with femoral neck fracture.

methodsData was obtained from a randomized, controlled trial with a 3-year follow-up at Umeå University Hospital, Sweden, which included 199 consecutive patients with femoral neck fracture, aged ≥70 years. The participants were assessed during hospitalization and in their homes 4, 12 and 36 months after surgery. Medical records and death certificates were analysed.

resultsMultivariate analysis revealed that cancer, dependence in P-ADL (Personal Activities of Daily Living), cardiovascular disease, dementia at baseline or pulmonary emboli or cardiac failure during hospitalization were all independent predictors of 3-year mortality. Seventy-nine out of 199 participants (40 %) died within 3 years. Cardiovascular events (24 %), dementia (23 %), hip-fracture (19 %) and cancer (13 %) were the most common primary causes of death. In total, 136 participants suffered at least one urinary tract infection; 114 suffered 542 falls and 37 sustained 56 new fractures, including 13 hip fractures, during follow-up.

conclusionOld people with femoral neck fracture have multiple co-morbidities and suffer numerous complications. Thus randomized intervention studies should focus on prevention of complications that might be avoidable such as infections, heart diseases, falls and fractures.

Indexed as

Accidental FallsActivities of Daily LivingAgedAged, 80 and overCause of DeathComorbidityDementiaFemaleFemoral Neck FracturesFollow-Up StudiesHip FracturesHospitalizationHospitals, UniversityHumansMaleSwedenCause of deathComplicationsHip fracture

Identifiers

PMID27260196
PMCPMC4893237
OpenAlexW2419045017

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.