Excess mortality in elderly hip fracture patients: An Indian experience.
10.1016/j.cjtee.2023.06.004
- Author:
Jaiben GEORGE
1
;
Vijay SHARMA
2
;
Kamran FAROOQUE
2
;
Vivek TRIKHA
2
;
Samarth MITTAL
2
;
Rajesh MALHOTRA
2
Author Information
1. Department of Orthopedic Surgery, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India. Electronic address: jaibengeorge@gmail.com.
2. Department of Orthopedic Surgery, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
- Publication Type:Journal Article
- Keywords:
Age;
Excess mortality;
Gender;
Hip fracture;
Indian;
Mortality;
Population
- MeSH:
Aged;
Aged, 80 and over;
Female;
Humans;
Male;
Asian People;
Databases, Factual;
Hip Fractures/mortality*;
Hospitalization;
Risk Factors;
India;
Middle Aged
- From:
Chinese Journal of Traumatology
2023;26(6):363-368
- CountryChina
- Language:English
-
Abstract:
PURPOSE:Hip fractures in elderly have a high mortality. However, there is limited literature on the excess mortality seen in hip fractures compared to the normal population. The purpose of this study was to compare the mortality of hip fractures with that of age and gender matched Indian population.
METHODS:There are 283 patients with hip fractures aged above 50 years admitted at single centre prospectively enrolled in this study. Patients were followed up for 1 year and the follow-up record was available for 279 patients. Mortality was assessed during the follow-up from chart review and/or by telephonic interview. One-year mortality of Indian population was obtained from public databases. Standardized mortality ratio (SMR) (observed mortality divided by expected mortality) was calculated. Kaplan-Meir analysis was used.
RESULTS:The overall 1-year mortality was 19.0% (53/279). Mortality increased with age (p < 0.001) and the highest mortality was seen in those above 80 years (aged 50 - 59 years: 5.0%, aged 60 - 69 years: 19.7%, aged 70 - 79 years: 15.8%, and aged over 80 years: 33.3%). Expected mortality of Indian population of similar age and gender profile was 3.7%, giving a SMR of 5.5. SMR for different age quintiles were: 3.9 (aged 50 - 59 years), 6.6 (aged 60 - 69 years), 2.2 (aged 70 - 79 years); and 2.0 (aged over 80 years). SMR in males and females were 5.7 and 5.3, respectively.
CONCLUSIONS:Indian patients sustaining hip fractures were about 5 times more likely to die than the general population. Although mortality rates increased with age, the highest excess mortality was seen in relatively younger patients. Hip fracture mortality was even higher than that of myocardial infarction, breast cancer, and cervical cancer.
