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Patient characteristics and outcomes of a hip fracture and concomitant fracture compared with hip fracture alone: results from a United Kingdom teaching hospital

  • Orthopaedic Surgery
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Abstract

Introduction

A proportion of patients sustaining hip fractures present with a concomitant fracture. We aimed to evaluate the relationship between patient characteristics and clinical outcomes, in those with a hip and concomitant fracture compared with those sustaining a hip fracture alone from a clinical service registry.

Method

Cross-sectional study using data obtained from a clinical service registry (Nottingham Hip Fracture Database) on patients aged 50 and above who suffered a hip fracture between 1/1/2003 and 31/12/2012. Data was collected on patient demographics, fracture information and healthcare outcomes.

Results

7338 patients of which 75 % were female (mean age 82 (SD 9.4), had a hip fracture with 334 (4.6 %) patients having a concomitant fracture. The majority (58 %) were distal radius or proximal humeral fractures. Only females (p = 0.002), those taking three or fewer medications (p = 0.018) and those on long term steroids (p = 0.048) were more likely to suffer a concomitant fracture. There was no difference in mortality, rates of postoperative complication, intensive care unit or care home admission between both groups. Patients with a concomitant fracture have a 16 % longer average length of stay in hospital (mean difference 1.16; 95 % CI 1.07–1.25, p < 0.001).

Conclusions

Patients with concomitant fractures have similar patient characteristics, except gender, polypharmacy and long term steroid use; and outcomes to those presenting with hip fracture alone, except a longer average inpatient stay.

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Acknowledgments

We would like to thank Fiona Millinship for her help in generating the database needed to conduct the study.

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Authors and Affiliations

  1. Department of Healthcare for Older People, Queens Medical Centre, Nottingham, NG7 2UH, UK

    Terence Ong, Varun Anand, Edmund Quah & Opinder Sahota

  2. Nottingham Clinical Trials Unit, Queens Medical Centre, University of Nottingham, Nottingham, NG7 2UH, UK

    Wei Tan

  3. Department of Trauma and Orthopaedics, Queens Medical Centre, Nottingham, NG7 2UH, UK

    Chris Moran

Authors
  1. Terence Ong
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  2. Varun Anand
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  3. Wei Tan
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  4. Edmund Quah
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  5. Chris Moran
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  6. Opinder Sahota
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Corresponding author

Correspondence to Terence Ong.

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Conflict of interest

All authors declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work; no other relationships or activities that could appear to have influenced the submitted work. All authors have signed the authorship declaration form. No external funding was obtained for the production of this study.

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Ong, T., Anand, V., Tan, W. et al. Patient characteristics and outcomes of a hip fracture and concomitant fracture compared with hip fracture alone: results from a United Kingdom teaching hospital. Arch Orthop Trauma Surg 136, 463–467 (2016). https://doi.org/10.1007/s00402-016-2422-z

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  • DOI: https://doi.org/10.1007/s00402-016-2422-z

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