ArticleActa orthopaedica2019
Estonian hip fracture data from 2009 to 2017: high rates of non-operative management and high 1-year mortality.
Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiology, patient outcome and complications after non-operative management of hip fracture: a systematic review.Anaesthesia · 2025Pooled it
- Comparing clinical outcomes and mortality rates of patients who sustained hip fractures managed non-operatively versus operatively over a 5-year period across the Republic of Ireland.Irish journal of medical science · 2026Article
- Excess mortality up to 7 years after low-trauma hip fracture in the largest urban region in Romania.Archives of osteoporosis · 2026Observational
- Factors Associated With Ambulation Status and Survival One Year After Conservative Management of Hip Fracture.Cureus · 2024Article
- Matters We Metric Vs. Metrics that Matter.Geriatric orthopaedic surgery & rehabilitation · 2024Review
- Isolated greater trochanter fracture may impose a comparable risk on older patients' survival as a conventional hip fracture: a population-wide cohort study.BMC musculoskeletal disorders · 2022Article
- Mortality rates of hip fracture patients with non-operative treatment.Joint diseases and related surgery · 2022Article
- Nonoperative hip fracture management practices and patient survival compared to surgical care: an analysis of Estonian population-wide data.Archives of osteoporosis · 2021Article
- Mortality rates and risk factors after low-trauma hip fracture in the largest university center in Romania.Archives of osteoporosis · 2021Article
- Delayed surgery versus nonoperative treatment for hip fractures in post-COVID-19 arena: a retrospective study of 145 patients.Acta orthopaedica · 2020Observational
- Prognostic Factors for All-Cause Mortality in Thai Patients with Fragility Fracture of Hip: Comorbidities and Laboratory Evaluations.Medicina (Kaunas, Lithuania) · 2020Article
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Authors and funding
8 authors.
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Abstract
Background and purpose - There are no national guidelines for treatment of hip fractures in Estonia and no studies on management. We assessed treatment methods and mortality rates for hip fracture patients in Estonia. Patients and methods - We studied a population-based retrospective cohort using validated data from the Estonian Health Insurance Fund's database. The cohort included patients aged 50 and over with an index hip fracture diagnosis between January 1, 2009 and September 30, 2017. The study generated descriptive statistics of hip fracture management methods and calculated in-hospital, 1-, 3, 6-, and 12-month unadjusted all-cause mortality rates. [CrossRef] Results - 91% (number of hips: 11,628/12,731) of the original data were included after data validation. Median patient age was 81 years, 83 years for women and 74 years for men. 28% were men. Treatment methods were: total hip arthroplasty 7%; hemiarthroplasty 25%; screws 6%; sliding hip screw 25%; intramedullary nail 27%; and nonoperative management 10%. Unadjusted all-cause mortality rates for in-hospital, 1, 3, 6, and 12 months were: 3%, 9%, 18%, 24%, and 31% respectively. The 12-month mortality rate for nonoperative management was 58%. [CrossRef] Interpretation - High rates of nonoperative management and overall high 1-year mortality rates after an index hip fracture indicate the need to review exclusion criteria for surgery and subacute care in Estonia.
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