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Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture

BACKGROUND: Hip fractures are almost always the result of a fall. Causes and circumstances of falls may differ between frail and vigorous patients. AIM: To describe the circumstances of falls causing hip fractures, number of falls during the previous year, and their association with long-term mortal...

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Autores principales: Barceló, Montserrat, Casademont, Jordi, Mascaró, Jordi, Gich, Ignasi, Torres, Olga Herminia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627886/
https://www.ncbi.nlm.nih.gov/pubmed/37688755
http://dx.doi.org/10.1007/s40520-023-02551-3
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author Barceló, Montserrat
Casademont, Jordi
Mascaró, Jordi
Gich, Ignasi
Torres, Olga Herminia
author_facet Barceló, Montserrat
Casademont, Jordi
Mascaró, Jordi
Gich, Ignasi
Torres, Olga Herminia
author_sort Barceló, Montserrat
collection PubMed
description BACKGROUND: Hip fractures are almost always the result of a fall. Causes and circumstances of falls may differ between frail and vigorous patients. AIM: To describe the circumstances of falls causing hip fractures, number of falls during the previous year, and their association with long-term mortality. PATIENTS AND METHODS: The study is a retrospective review conducted in a tertiary university hospital serving a population of 425,000 inhabitants in Barcelona. All patients admitted with hip fractures with medical records describing the circumstances and number of previous falls were included. The number of falls in the previous 12 months was recorded, including the one causing the fracture. The circumstances of the index fall were dichotomized according to whether it was from the patient’s own height or above; day or night; indoors or outdoors, due to intrinsic or extrinsic causes. Cumulative mortality was recorded for almost 5 years after hip fracture. RESULTS: Indoor falls were strongly associated with shorter survival. Falling more than once in the previous year was also a risk factor for long-term mortality (hazard ratio 1.461, p < 0.001 and hazard ratio 1.035, p = 0.008 respectively). CONCLUSION: Indoor falls and falling more than once in the previous year are long-term risk factors for mortality after hip fractures. It is always essential to take a careful patient history on admission to determine the number of falls and their circumstances, and special care should be taken to reduce mortality in patients at high risk.
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spelling pubmed-106278862023-11-08 Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture Barceló, Montserrat Casademont, Jordi Mascaró, Jordi Gich, Ignasi Torres, Olga Herminia Aging Clin Exp Res Original Article BACKGROUND: Hip fractures are almost always the result of a fall. Causes and circumstances of falls may differ between frail and vigorous patients. AIM: To describe the circumstances of falls causing hip fractures, number of falls during the previous year, and their association with long-term mortality. PATIENTS AND METHODS: The study is a retrospective review conducted in a tertiary university hospital serving a population of 425,000 inhabitants in Barcelona. All patients admitted with hip fractures with medical records describing the circumstances and number of previous falls were included. The number of falls in the previous 12 months was recorded, including the one causing the fracture. The circumstances of the index fall were dichotomized according to whether it was from the patient’s own height or above; day or night; indoors or outdoors, due to intrinsic or extrinsic causes. Cumulative mortality was recorded for almost 5 years after hip fracture. RESULTS: Indoor falls were strongly associated with shorter survival. Falling more than once in the previous year was also a risk factor for long-term mortality (hazard ratio 1.461, p < 0.001 and hazard ratio 1.035, p = 0.008 respectively). CONCLUSION: Indoor falls and falling more than once in the previous year are long-term risk factors for mortality after hip fractures. It is always essential to take a careful patient history on admission to determine the number of falls and their circumstances, and special care should be taken to reduce mortality in patients at high risk. Springer International Publishing 2023-09-09 2023 /pmc/articles/PMC10627886/ /pubmed/37688755 http://dx.doi.org/10.1007/s40520-023-02551-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Barceló, Montserrat
Casademont, Jordi
Mascaró, Jordi
Gich, Ignasi
Torres, Olga Herminia
Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_full Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_fullStr Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_full_unstemmed Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_short Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_sort indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627886/
https://www.ncbi.nlm.nih.gov/pubmed/37688755
http://dx.doi.org/10.1007/s40520-023-02551-3
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