Evidence map›Paper›PMID 41280359›Full record

ArticleClinical epidemiology2025

The Association Between Socioeconomic Position and Infection Risk After Hip Fracture Surgery: A Nationwide Cohort Study of 54,853 Patients.

Nadia Roldsgaard Gadgaard, Claus Varnum, Rob Nelissen, Christina Vandenbroucke-Grauls, Henrik Toft Sørensen, Alma Becic Pedersen

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Article in Clinical epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nadia Roldsgaard GadgaardDepartment of Clinical Epidemiology, Center for Population Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.ORCID 0000-0003-1199-439X
Claus VarnumDepartment of Orthopedic Surgery, Lillebaelt Hospital, Vejle, Denmark.ORCID 0000-0002-0625-5691
Rob NelissenDepartment of Orthopaedics, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-1228-4162
Christina Vandenbroucke-GraulsDepartment of Clinical Epidemiology, Center for Population Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.
Henrik Toft SørensenDepartment of Clinical Epidemiology, Center for Population Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.ORCID 0000-0003-4299-7040
Alma Becic PedersenDepartment of Clinical Epidemiology, Center for Population Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.ORCID 0000-0002-3288-9401

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We examined the association between socioeconomic position (SEP) and risk of any infection after surgery for hip fracture, and whether markers of poor health modify this. Methods: Individual-level data on SEP markers (education, liquid assets, marital status, and cohabitation) were obtained from Danish registries for hip fracture patients undergoing surgery (2010-2018). We computed cumulative incidences of any hospital-treated infection within one month after surgery. Using Cox regression we estimated adjusted hazard ratios (aHRs) with 95% confidence intervals. Analyses were stratified by comorbidity clusters based on latent class analysis, body mass index (BMI), pre-fracture mobility, and residence type. Results: The incidences of infection were: 17% for low vs 16% for high education (aHR 1.10, 1.02-1.18), 19% for low vs 16% for high liquid assets (aHR 1.21, 1.15-1.28), 18% for divorced vs 16% for married (aHR 1.24, 1.15-1.32), and 18% for living alone vs 15% for cohabiting (aHR 1.16, 1.06-1.28). The incidence of infection was highest among patients with diabetic-renal comorbidity, underweight, poor mobility, or nursing home residency. The magnitude and direction of associations were modified by comorbidity clusters, BMI, mobility, and residence type. Conclusion: We observed socioeconomic inequalities in 30-day risk of infection after hip fracture surgery. Health modified the observed inequalities but could not fully explain them.

Indexed as

EpidemiologyHip fracturesInfectionsLow Socioeconomic Status(MeSH)

Identifiers

PMID41280359
PMCPMC12630008

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