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Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012

BACKGROUND AND PURPOSE: While development in hip fracture incidence and mortality is well examined, none has yet looked at the temporal trends regarding prevalence of co-morbidities. Therefore we investigated changes in incidence of first hip fracture, co-morbidity prevalence, 30 day- and 1-year mor...

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Autores principales: Jantzen, Christopher, Madsen, Christian M, Lauritzen, Jes B, Jørgensen, Henrik L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901514/
https://www.ncbi.nlm.nih.gov/pubmed/29388458
http://dx.doi.org/10.1080/17453674.2018.1428436
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author Jantzen, Christopher
Madsen, Christian M
Lauritzen, Jes B
Jørgensen, Henrik L
author_facet Jantzen, Christopher
Madsen, Christian M
Lauritzen, Jes B
Jørgensen, Henrik L
author_sort Jantzen, Christopher
collection PubMed
description BACKGROUND AND PURPOSE: While development in hip fracture incidence and mortality is well examined, none has yet looked at the temporal trends regarding prevalence of co-morbidities. Therefore we investigated changes in incidence of first hip fracture, co-morbidity prevalence, 30 day- and 1-year mortality in hip fracture patients in the Danish population during the period 1999 to 2012. PATIENTS AND METHODS: Patients >18 years admitted with a fractured hip in Denmark between 1996 and 2012 were identified with data for the period 1999–2012 being analyzed regarding prevalence of co-morbidities, incidence, and mortality. RESULTS: 122,923 patients were identified. Incidence in the whole population declined but sex-specific analysis showed no changes for men. For the whole study population, 30-day and 1-year mortality remained unchanged. Age at time of first hip fracture also remained unchanged. Of the included co-morbidities a decrease in prevalence of malignancy and dementia in women was found while there was an increase in the prevalence of all remaining co-morbidities, except hemi- or paraplegia for both sexes, rheumatic diseases for women, and for men diabetes with complications, myocardial infarction, AIDS/HIV, and malignancy. INTERPRETATION: While hip fracture incidence declined for women it was unchanged for men; likewise, 30-day and 1-year mortality rates together with age at first fracture remained unchanged. When these results are compared with the relatively large increase in the prevalence of co-morbidities, it does not seem likely that the increased disease burden is affecting either the incidence or the mortality.
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spelling pubmed-59015142018-04-23 Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012 Jantzen, Christopher Madsen, Christian M Lauritzen, Jes B Jørgensen, Henrik L Acta Orthop Hip and Knee BACKGROUND AND PURPOSE: While development in hip fracture incidence and mortality is well examined, none has yet looked at the temporal trends regarding prevalence of co-morbidities. Therefore we investigated changes in incidence of first hip fracture, co-morbidity prevalence, 30 day- and 1-year mortality in hip fracture patients in the Danish population during the period 1999 to 2012. PATIENTS AND METHODS: Patients >18 years admitted with a fractured hip in Denmark between 1996 and 2012 were identified with data for the period 1999–2012 being analyzed regarding prevalence of co-morbidities, incidence, and mortality. RESULTS: 122,923 patients were identified. Incidence in the whole population declined but sex-specific analysis showed no changes for men. For the whole study population, 30-day and 1-year mortality remained unchanged. Age at time of first hip fracture also remained unchanged. Of the included co-morbidities a decrease in prevalence of malignancy and dementia in women was found while there was an increase in the prevalence of all remaining co-morbidities, except hemi- or paraplegia for both sexes, rheumatic diseases for women, and for men diabetes with complications, myocardial infarction, AIDS/HIV, and malignancy. INTERPRETATION: While hip fracture incidence declined for women it was unchanged for men; likewise, 30-day and 1-year mortality rates together with age at first fracture remained unchanged. When these results are compared with the relatively large increase in the prevalence of co-morbidities, it does not seem likely that the increased disease burden is affecting either the incidence or the mortality. Taylor & Francis 2018-04 2018-02-01 /pmc/articles/PMC5901514/ /pubmed/29388458 http://dx.doi.org/10.1080/17453674.2018.1428436 Text en © 2018 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. https://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0)
spellingShingle Hip and Knee
Jantzen, Christopher
Madsen, Christian M
Lauritzen, Jes B
Jørgensen, Henrik L
Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
title Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
title_full Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
title_fullStr Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
title_full_unstemmed Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
title_short Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
title_sort temporal trends in hip fracture incidence, mortality, and morbidity in denmark from 1999 to 2012
topic Hip and Knee
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901514/
https://www.ncbi.nlm.nih.gov/pubmed/29388458
http://dx.doi.org/10.1080/17453674.2018.1428436
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AT lauritzenjesb temporaltrendsinhipfractureincidencemortalityandmorbidityindenmarkfrom1999to2012
AT jørgensenhenrikl temporaltrendsinhipfractureincidencemortalityandmorbidityindenmarkfrom1999to2012