Observational studyArchives of osteoporosis2022
Mobility and mortality outcomes among older individuals with hip fractures at a teaching hospital in Malaysia.
Observational study in Archives of osteoporosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 5 citations in OpenAlex.
- Recovery trajectories of spatiotemporal gait after bipolar hemiarthroplasty versus closed reduction and internal fixation for unstable intertrochanteric fracture: a prospective wearable-sensor study.Journal of orthopaedic surgery and research · 2026Article
- Predictive scoring system for independent walking disability after fragility hip fracture surgery: a multicenter study.Scientific reports · 2026Observational
- Comparative outcomes of osteoporotic fracture management between tertiary hospitals and fracture liaison services in Malaysia.Scientific reports · 2026Article
- The impact of caregiver burden on benefit finding: exploring the mediating role of psychological resilience in family caregivers of hip fracture patients.Scientific reports · 2026Article
- Outcomes of nonagenarians undergoing hip fracture surgery: a multicentre observational study across Asia-Oceana.BMC geriatrics · 2026Observational
- Current Care and Barriers to Optimal Care of People With Hip Fracture: A Survey of Hospitals in New South Wales, Australia.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- The association between anion gap and length of stay in patients undergoing hip fracture surgery: data from the MIMIC-IV database.BMC musculoskeletal disorders · 2024Article
- Implementation of a Fracture Liaison Service in a tertiary hospital in Malaysia: a feasibility study.Archives of osteoporosis · 2024Article
- Views of healthcare professionals regarding barriers and facilitators for a Fracture Liaison Service in Malaysia.PloS one · 2024Article
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Authors and funding
14 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The challenges of hip fracture care in Malaysia is scarcely discussed. This study evaluated the outcomes of older patients with hip fracture admitted to a teaching hospital in Malaysia. We found that one in five individuals was no longer alive at one year after surgery. Three out of five patients did not recover to their pre-fracture mobility status 6 months following hip fracture surgery. PURPOSE: With the rising number of older people in Malaysia, it is envisaged that the number of fragility hip fractures would also increase. The objective of this study was to determine patient characteristics and long-term outcomes of hip fracture in older individuals at a teaching hospital in Malaysia.
methodsThis was a prospective observational study which included consecutive patients aged ≥ 65 years old admitted to the orthopedic ward with acute hip fractures between March 2016 and August 2018. Patient socio-demographic details, comorbidities, pre-fracture mobility status, fracture type, operation and anesthesia procedure, and length of stay were recorded. Post-fracture mobility status was identified at 6 months. Cox proportional hazard analysis was used to assess the risk of death in all patients.
results310 patients (70% women) with the mean age of 79.89 years (SD 7.24) were recruited during the study period. Of these, 284 patients (91.6%) underwent surgical intervention with a median time to surgery of 5 days (IQR 3-8) days. 60.4% of patients who underwent hip fracture surgery did not recover to their pre-fracture mobility status. One year mortality rate was 20.1% post hip fracture surgery. The independent predictor of mortality included advanced age (hazard ratio, HR = 1.05, 95% CI = 1.01-1.08; p = 0.01), dependency on activities of daily living (HR = 2.08, 95% CI = 1.26-3.45; p = 0.01), and longer length of hospitalization (HR = 1.02, 95% CI = 1.01-1.04; p < 0.01).
conclusionOne in 5 individuals who underwent hip fracture surgery at a teaching hospital in Kuala Lumpur was no longer alive at one year. A systematic approach to hip fracture management is crucial to improve outcomes and restore pre-fracture function of this vulnerable group of patients.
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