ArticleScientific reports2018
Determinants of mortality after hip fracture surgery in Sweden: a registry-based retrospective cohort study.
Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Life expectancy of older people living in aged care facilities after a hip fracture.Scientific reports · 2021Trial
- Robotic-Assisted Fixation and Cementation for Sacral Insufficiency Fractures: A Case Series and Technical Note.Journal of clinical medicine · 2026Article
- Trends, patterns, and outcomes of hip fractures over 14 years: insights from a tertiary trauma center in Beijing, China (2009-2022).Archives of osteoporosis · 2025Article
- Factors Affecting Mortality Following Hip Fracture Surgery: Insights from a Long-Term Study at a Level I Trauma Center-Does Timing Matter?Journal of clinical medicine · 2025Article
- Ready for discharge? Factors associated with prolonged length of stay following geriatric hip fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Comparing mortality in the elderly after proximal femur fractures and coxarthrosis: the effect of individual health characteristics and day of surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- The Akcaalan Mortality Score: A Novel Mortality Score to Predict 3-Year Mortality for Elderly Hip Fractures.Journal of clinical medicine · 2025Article
- Enhancing Elderly Hip Fracture Care: Reducing the Length of Stay Through Guidelines Implementation.Cureus · 2025Article
- Glucose-albumin ratio (GAR) as a novel biomarker for predicting postoperative pneumonia (POP) in older adults with hip fractures.Scientific reports · 2024Article
- Trends in Hospital Stay, Complication Rate, and Mortality in Hip Fracture Patients: A Two-Decade Comparison at a National Tertiary Referral Center.Journal of clinical medicine · 2024Article
- Orthogeriatric care-outcome of different fragility fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Association between admission hyperglycemia and postoperative pneumonia in geriatric patients with hip fractures.BMC musculoskeletal disorders · 2023Article
- Frailty and comorbidity predict 30 day postoperative outcomes, independent of anatomical site of fracture.Archives of orthopaedic and trauma surgery · 2023Article
- Delayed surgery and health related quality of life in patients with proximal femoral fracture.Scientific reports · 2023Observational
- The Swedish Perioperative Register: Description, validation of data mapping and utility.Acta anaesthesiologica Scandinavica · 2023Article
- Patient-specific factors affecting survival following hip fractures-a 14-year follow-up study in Finland.Archives of osteoporosis · 2022Article
- Modifiable and non-modifiable risk factors in hip fracture mortality in Norway, 2014 to 2018 : a linked multiregistry study.The bone & joint journal · 2022Article
- Relatively low and moderate pre-fracture serum 25-hydroxyvitamin D levels associated with the highest survival in elderly hip fracture patients in Finland: a minimum 3-year follow-up.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Bipolar hemiarthroplasty in unstable intertrochanteric fractures in elderly patients. The predictive value of the Charlson Comorbidity Index in 1-year mortality.Journal of clinical orthopaedics and trauma · 2022Article
- Regional medical inter-institutional cooperation in medical provider network constructed using patient claims data from Japan.PloS one · 2022Article
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Surgery for hip fractures is associated with high mortality and morbidity. The causes of poor outcome are not fully understood and may be related to other factors than the surgery itself. The relative contributions of patient, surgical, anaesthetic and structural factors have seldom been studied together. This study, a retrospective registry-based cohort study of 14 932 patients undergoing hip fracture surgery in Sweden from 1st of January 2014 to 31st of December 2016, aimed to identify important predictors of mortality post-surgery. The independent predictive power of our included variables was examined using Cox proportional hazards modeling with all-cause mortality at longest follow-up as the outcome. Twelve independent variables were considered as interrelated 'exposures' and their individual adjusted effect within a single model were evaluated. Kaplan-Meier curves were also generated. Crude mortality rates were 8.2% at 30 days (95% CI 7.7-8.6%) and 23.6% at 365 days (95% CI 22.9-24.2%). Of the 12 factors entered into the Cox regression analysis, age (aHR1.06, p < 0.001), male gender (aHR 1.45, p < 0.001), ASA-PS-class (ASA 1&2 reference; ASA 3 aHR 2.12; ASA 4 aHR 4.79; ASA 5 aHR 12.57 respectively, p < 0.001) and PACU-LOS (aHR 1.01, p < 0.001) were significantly associated with mortality at longest follow-up (up to 3 years). University hospital status was protective (aHR 0.83, p < 0.001) in the same model. Age, gender and ASA-PS-class were strong predictors of mortality after surgery for hip fractures in Sweden. University hospital status and length of stay in the postoperative care unit were also identified as modifiable risk factors after multivariable adjustment and require confirmation in future studies.
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