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Archives of Osteoporosis

, 14:37 | Cite as

Epidemiological and clinical study of hip fracture in hospitalized elderly patients in Shanghai, China

  • Minmin Chen
  • Yanhua Zhang
  • Yanping Du
  • Wei Hong
  • Wenjing Tang
  • Huilin Li
  • Songbai ZhengEmail author
  • Qun ChengEmail author
Original Article
  • 6 Downloads

Abstract

Summary

In this study, we attempted to determine the epidemiology and clinical characteristics of hip fracture in the elderly. We find that elderly people with hip fracture have multiple comorbidities and suffer numerous complications.

Introduction

We attempted to explore the epidemiology and clinical characteristics of hip fracture in the elderly.

Methods

One thousand five hundred thirty-nine patients aged over 65 years were included in the retrospective study. From the medical records, information was gathered about pre-fracture conditions, as well as fracture type, surgical details, laboratory indicators, postoperative complications, length of stay, outcomes, and costs of hospitalization. Binary logistic regression was used to screen for potential risk factors for perioperative complications and postoperative death, and general linear models were used to determine factors that influenced the cost of surgical treatment.

Results

The average age of hip fracture patients in our study was 82.20 ± 6.82 years old, and the male-to-female ratio was 1:2.82. In 1356 patients who underwent hip surgery, the incidence of perioperative complications was 6.71% (91/1356), and the postoperative mortality rate was 1.11% (15/1356). Factors associated with perioperative complications were male sex, heart function class III or higher, serum albumin < 35 g/L, respiratory diseases, and perioperative blood transfusion (P < 0.05). Perioperative blood transfusion was an independent risk factor for postoperative death after hip fracture in the elderly (P < 0.05). The main factors that influenced hospitalization expenses related to elderly hip fracture patients were type of surgery, method of anesthesia, length of stay, perioperative complications, and outcomes (P < 0.05).

Conclusions

Elderly people with hip fracture have multiple comorbidities and suffer numerous complications. Thus, randomized intervention studies should focus on prevention of complications that might be avoidable.

Keywords

Hip fracture Perioperative complications Risk factors Cause of death Epidemiology 

Notes

Acknowledgments

We thank all participants of the study and the laboratory staff who helped conducted the study.

Funding

This study was supported by the National Natural Science Foundation of China (NSFC; no. 81471089), Shanghai Municipal Commission of Health (2013ZYJB0801), and Shanghai Key Laboratory of Clinical Geriatric Medicine (13dz2260700).

Compliance with ethical standards

Conflicts of interest

None.

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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2019

Authors and Affiliations

  • Minmin Chen
    • 1
    • 2
  • Yanhua Zhang
    • 3
  • Yanping Du
    • 1
    • 2
  • Wei Hong
    • 1
    • 2
  • Wenjing Tang
    • 1
    • 2
  • Huilin Li
    • 1
    • 2
  • Songbai Zheng
    • 2
    Email author
  • Qun Cheng
    • 1
    • 2
    Email author
  1. 1.Research Section of Geriatric Metabolic Bone Disease, Shanghai Geriatric Institute, Department of Osteoporosis and Bone DiseaseHuadong Hospital affiliated to Fudan UniversityShanghaiChina
  2. 2.Research Center on Aging and MedicineFudan UniversityShanghaiChina
  3. 3.Department of General MedicineSanmenxia Central Hospital of Henan ProvinceSanmenxiaChina

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