Clinical Orthopaedics and Related Research®

, Volume 471, Issue 9, pp 2846–2851

Is There a Difference in Timing and Cause of Death After Fractures in the Elderly?

Symposium: Tscherne Festschrift

DOI: 10.1007/s11999-013-2881-2

Cite this article as:
Liem, I.S., Kammerlander, C., Raas, C. et al. Clin Orthop Relat Res (2013) 471: 2846. doi:10.1007/s11999-013-2881-2

Abstract

Background

Patients who sustain osteoporotic fractures have excessive mortality compared to age-matched controls, which is most pronounced within the first 6 months postfracture. However, the timing and cause of death in the first 3 months after sustaining a fracture are unclear.

Questions/purposes

We therefore evaluated and compared the timing and cause of death in patients who sustained a pelvic, proximal femoral, spinal, or proximal humeral fracture 30 and 90 days after fracture.

Methods

From medical records, we recorded age at time of fracture, sex, fracture site, comorbidities, date of death, and cause of death of 1630 patients with 1630 fractures admitted to our department between 2001 and 2007. The median age at the time of fracture was 83 years and 89% of the patients were women.

Results

Fifty-eight patients died within 30 days after fracture (3.6%), and 122 patients (7.5%) died within 90 days after fracture. Cardiovascular causes of death were most frequent in all fracture groups. Patients who suffered from spinal fractures died earlier within 30 days after fracture than patients who suffered from other types of fractures.

Conclusions

This shows the severity and impact of a spinal injury compared to other typical fragility fractures.

Level of Evidence

Level II, prognostic study. See Instructions for Authors for a complete description of levels of evidence.

Copyright information

© The Association of Bone and Joint Surgeons® 2013

Authors and Affiliations

  1. 1.Department for Trauma Surgery and Sports MedicineMedical University of InnsbruckInnsbruckAustria
  2. 2.Department for Internal and Geriatric MedicineHospital HochzirlZirlAustria

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