Evidence map›Paper›PMID 40338402›Full record

ArticleArchives of osteoporosis2025

Fragility hip fractures among Nigerian older adults: a retrospective study of epidemiology, mobility and mortality outcomes at 3 and 12 months post-hospital discharge.

Stephen Adesope Adesina, Isaac Olusayo Amole, Imri Goodness Adefokun, Adepeju Olatayo Adegoke, Olusola Tunde Ekunnrin, Akinsola Idowu Akinwumi, Simeon Ayorinde Ojo, Adewumi Ojeniyi Durodola, Innocent Chiedu Ikem, Samuel Uwale Eyesan

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Article in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Beyond the fracture: coordinated action for bone health equity in Africa.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stephen Adesope AdesinaBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria. stephen.adesina@bowen.edu.ng.ORCID 0000-0001-5994-7686
Isaac Olusayo AmoleBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.ORCID 0000-0001-7845-8052
Imri Goodness AdefokunBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.ORCID 0000-0003-3214-727X
Adepeju Olatayo AdegokeBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.ORCID 0000-0003-0865-6314
Olusola Tunde EkunnrinBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.ORCID 0009-0006-3602-0558
Akinsola Idowu AkinwumiAdeleke University, P.M.B 250, Ede, Osun State, Nigeria.ORCID 0000-0003-0777-5098
Simeon Ayorinde OjoBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.ORCID 0009-0000-6759-0402
Adewumi Ojeniyi DurodolaBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.ORCID 0000-0002-1156-9177
Innocent Chiedu IkemDepartment of Orthopaedic Surgery and Traumatology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.ORCID 0000-0003-4748-9846
Samuel Uwale EyesanBowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.ORCID 0000-0003-1237-4598

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fragility hip fractures (FHFs) are a growing concern worldwide. Sub-Saharan Africa is no exception. Nigeria has limited data on FHFs. This study found that surgical treatment significantly enhances mobility and survival rates for older adults with FHFs. The findings can inform healthcare policies and practices in Nigeria and similar contexts. PURPOSE: The global population, including that of sub-Saharan Africa, is rapidly ageing, resulting in a higher incidence of fragility fractures. This study investigates the epidemiology of fragility hip fractures (FHFs) at a Nigerian teaching hospital, focusing on the predictors of two key outcomes: (1) mobility and mortality 3 months post-discharge, and (2) mortality 12 months post-discharge.

methodsA retrospective study was conducted involving 102 older adults aged ≥ 60 who received treatment for femoral neck, intertrochanteric, and subtrochanteric fractures at a mission teaching hospital in Nigeria over 6 years. Data collected included demographics, causes of fractures, comorbidities, treatment methods, time-to-surgery, length of stay, mobility, and mortality rates. Univariate analyses were performed to identify mobility and mortality outcomes predictors at 3 and 12 months post-discharge.

resultsThe mean age was 78.0 years, with 49.0% of patients in the oldest-old category. 70.6% regained mobility 3 months post-discharge. The mortality rate was 3.9% at 3 months and 22.5% at 12 months. Predictors of better mobility and mortality outcomes included younger age, no/mild comorbidities, fractures due to community falls, femoral neck fractures, surgical treatment, and shorter time to surgery. Patients who regained mobility by 3 months had a lower 12-month mortality rate (p < 0.001).

conclusionThis study emphasizes the importance of effective surgical management for FHFs in Nigeria's ageing population. The findings suggest that a multidisciplinary care approach, encompassing comprehensive management of comorbidities, age-friendly housing design, ongoing research, and investment in healthcare infrastructure, is essential to address the growing burden of FHFs.

Indexed as

Hip FracturesOsteoporotic FracturesAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedNigeriaPatient DischargeRetrospective StudiesFragilityHip fractureMobilityMortalityNigeriaSub-Saharan Africa

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.