Observational studyBMC musculoskeletal disorders2017
The impact of hip fracture on mortality in Estonia: a retrospective population-based cohort study.
Observational study in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Excess mortality up to 7 years after low-trauma hip fracture in the largest urban region in Romania.Archives of osteoporosis · 2026Observational
- Bone Health in Metastatic Hormone-Sensitive Prostate Cancer: Where We Stand and Where We Can Improve.Cancers · 2025Article
- Patient-specific factors affecting survival following hip fractures-a 14-year follow-up study in Finland.Archives of osteoporosis · 2022Article
- Incidence, Prediction, and Outcomes of Major Bleeding After Percutaneous Coronary Intervention in Chinese Patients.JACC. Asia · 2022Article
- Analysis of Factors Affecting the Third- and Twelfth-Month Mortality in Patients with Hip Fractures Aged 80 Years and Older.Indian journal of orthopaedics · 2022Article
- Cost-effectiveness of group-based exercise to prevent falls in elderly community-dwelling people.BMC geriatrics · 2021Article
- Fractures' associated mortality risk in orthogeriatric inpatients: a prospective 2-year survey.European geriatric medicine · 2021Article
- Beyond Hip Fractures: Other Fragility Fractures' Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Prognostic Factors for All-Cause Mortality in Thai Patients with Fragility Fracture of Hip: Comorbidities and Laboratory Evaluations.Medicina (Kaunas, Lithuania) · 2020Article
- Estonian hip fracture data from 2009 to 2017: high rates of non-operative management and high 1-year mortality.Acta orthopaedica · 2019Article
- The updated Charlson comorbidity index is a useful predictor of mortality in patients with Staphylococcus aureus bacteraemia.Epidemiology and infection · 2018Article
- Relative survival following hemi-and total hip arthroplasty for hip fractures in Sweden.BMC musculoskeletal disorders · 2018Article
- Erratum to: The impact of hip fracture on mortality in Estonia: a retrospective population-based cohort study.BMC musculoskeletal disorders · 2017Article
- [Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study].Brazilian journal of anesthesiology (Elsevier)Observational
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEstimates of hip fracture mortality in Eastern Europe are scarce. We aimed to estimate the magnitude and duration of excess mortality after hip fracture in Estonia.
methodsRetrospective, population-based 10-year study of persons aged ≥50 in two cohorts: with hip fracture and an age- and sex-matched (in a 1:4 ratio) random sample from the national health insurance fund database for comparison. Cumulative risks, excess risks and relative risks of death were estimated using Poisson regression with 95% bootstrap confidence intervals (CI). Risks were adjusted for age and Charlson comorbidity index.
resultsWe identified 8298 (2383 men, 5915 women) incident hip fracture patients from 2005 to 2013 and 33,191 (9531 men, 23,660 women) individuals for the reference group. 5552 (1564 men, 3988 women) cases and 14,037 (3514 men, 10,523 women) reference individuals died during the 10-year follow-up period. Among hip fracture patients we observed a pronounced and durable excess risk of death that was highest within 3-6 months after fracture and persisted for the full 10-year follow-up period. After adjustment for age and Charlson index, hip fracture was associated with a 21.1% (95% CI 20.0-22.5%) 10-year cumulative excess risk of death (RR 1.37, 95% CI 1.35-1.40). We found a high immediate excess risk of death in older age groups (≥80 years) and gradually accumulating excess risk in younger age groups (50-79 years). The excess risk was more pronounced among men than women.
conclusionsBy the end of the 10-year follow-up, 1 in 4 deaths in the hip fracture group was attributable to the hip fracture. The results indicate a high attributable impact of hip fracture as an independent risk factor for death.
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