ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
The mortality burden in patients with hip fractures and dementia.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 41 citations in OpenAlex.
- Impact of Preexisting Dementia on Mortality, Readmissions, and Complications After Surgical Repair of Hip Fractures: A Cohort Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Time to reframe osteoporosis: a position statement to characterize the osteoporosis care gap.JBMR plus · 2026Review
- Effects of Dementia on Adverse Outcomes in Geriatric Patients Undergoing Elective Total Hip Arthroplasty: Analysis of the US Nationwide Inpatient Sample.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Risk Factors for Recurrent Fractures in Hip Fracture Patients: A Big Data Analysis of Demographic, Clinical, and Functional Characteristics.Journal of clinical medicine · 2025Article
- Unraveling the Bone-Brain Communication Network.Biology · 2025Review
- Scoping review exploring the impact of hip fracture in older adults with cognitive impairment or dementia.BMJ open · 2025Article
- Mortality following hip fracture surgery in patients with dementia: a Swedish multiple national register study.European geriatric medicine · 2025Article
- Development and temporal external validation of a novel nomogram for predicting one-year mortality in the older adult with hip fracture.Frontiers in medicine · 2025Article
- Relationship Between Depression and Falls Among Nursing Home Residents: Integrative Review.Interactive journal of medical research · 2024Review
- Factors Associated With Ambulation Status and Survival One Year After Conservative Management of Hip Fracture.Cureus · 2024Article
- Comparative Analysis of Frailty Scores for Predicting Adverse Outcomes in Hip Fracture Patients: Insights from the United States National Inpatient Sample.Journal of personalized medicine · 2024Article
- The relationship and predictive value of dementia and frailty for mortality in patients with surgically managed hip fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- The effect of a post-anaesthesia high-care unit (PAHCU) admission on mobilization, length of stay and in-hospital mortality post-surgery in low energy neck of femur fracture patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- Trends of fall-related and other fatal injuries in older adults in Finland between 1998 and 2020.European journal of public health · 2023Article
- Validation of the orthopedic frailty score for measuring frailty in hip fracture patients: a cohort study based on the United States National inpatient sample.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- A nationwide analysis on the interaction between frailty and beta-blocker therapy in hip fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Article
- Effect of dementia on all-cause mortality in hip fracture surgery: a retrospective study on a nationwide Korean cohort.BMJ open · 2023Article
- Dementia is a surrogate for frailty in hip fracture mortality prediction.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDementia is strongly associated with postoperative death in patients subjected to hip fracture surgery. Nevertheless, there is a distinct lack of research investigating the cause of postoperative mortality in patients with dementia. This study aims to investigate the distribution and the risk of cause-specific postoperative mortality in patients with dementia compared to the general hip fracture population.
methodsAll adults who underwent emergency hip fracture surgery in Sweden between 1/1/2008 and 31/12/2017 were considered for inclusion. Pathological, conservatively managed fractures, and reoperations were excluded. The database was retrieved by cross-referencing the Swedish National Quality Registry for Hip Fracture patients with the Swedish National Board of Health and Welfare quality registers. A Poisson regression model was used to determine the association between dementia and all-cause as well as cause-specific 30-day postoperative mortality.
results134,915 cases met the inclusion criteria, of which 20% had dementia at the time of surgery. The adjusted risk of all-cause 30-day postoperative mortality was 67% higher in patients with dementia after hip fracture surgery compared to patients without dementia [adj. IRR (95% CI): 1.67 (1.60-1.75), p < 0.001]. The risk of cause-specific mortality was also higher in patients with dementia, with up to a sevenfold increase in the risk cerebrovascular mortality [adj. IRR (95% CI): 7.43 (4.99-11.07), p < 0.001].
conclusionsHip fracture patients with dementia have a higher risk of death in the first 30 days postoperatively, with a substantially higher risk of mortality due to cardiovascular, respiratory, and cerebrovascular events, compared to patients without dementia.
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