ArticleAging clinical and experimental research2023
Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture.
Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Association between fall location and postoperative clinical outcomes after fragility hip fracture: a multicentre cohort study.Annals of medicine · 2026Article
- Biomechanical perspectives on image-based hip fracture risk assessment: advances and challenges.Frontiers in endocrinology · 2025Review
- Global, regional, and national burden of hip fractures attributable to falls in older adults: changes from 1990-2021 and 2036 projections.Frontiers in public health · 2025Article
- Intrinsic capacity and recent falls in adults 80 years and older living in the community: results from the ilSIRENTE Study.Aging clinical and experimental research · 2024Article
- Associations of Frailty, Defined Using Three Different Instruments, with All-Cause Mortality in a Tertiary Outpatient Clinic in Turkiye.International journal of general medicine · 2024Article
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Authors and funding
5 authors.
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Abstract
backgroundHip fractures are almost always the result of a fall. Causes and circumstances of falls may differ between frail and vigorous patients.
aimTo describe the circumstances of falls causing hip fractures, number of falls during the previous year, and their association with long-term mortality. PATIENTS AND
methodsThe study is a retrospective review conducted in a tertiary university hospital serving a population of 425,000 inhabitants in Barcelona. All patients admitted with hip fractures with medical records describing the circumstances and number of previous falls were included. The number of falls in the previous 12 months was recorded, including the one causing the fracture. The circumstances of the index fall were dichotomized according to whether it was from the patient's own height or above; day or night; indoors or outdoors, due to intrinsic or extrinsic causes. Cumulative mortality was recorded for almost 5 years after hip fracture.
resultsIndoor falls were strongly associated with shorter survival. Falling more than once in the previous year was also a risk factor for long-term mortality (hazard ratio 1.461, p < 0.001 and hazard ratio 1.035, p = 0.008 respectively).
conclusionIndoor falls and falling more than once in the previous year are long-term risk factors for mortality after hip fractures. It is always essential to take a careful patient history on admission to determine the number of falls and their circumstances, and special care should be taken to reduce mortality in patients at high risk.
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