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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2018
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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. |
format | Online Article Text |
id | pubmed-5901514 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
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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