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 mo...
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Online Access: | http://dx.doi.org/10.1080/17453674.2018.1428436 |
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doaj-0df2408ff22444d3ad4c30f15b89c30e2021-02-02T03:29:44ZengTaylor & Francis GroupActa Orthopaedica1745-36741745-36822018-03-0189217017610.1080/17453674.2018.14284361428436Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012Christopher Jantzen0Christian M Madsen1Jes B Lauritzen2Henrik L Jørgensen3Bispebjerg Hospital, University of CopenhagenBispebjerg Hospital, University of CopenhagenBispebjerg Hospital, University of CopenhagenBispebjerg Hospital, University of CopenhagenBackground 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.http://dx.doi.org/10.1080/17453674.2018.1428436 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christopher Jantzen Christian M Madsen Jes B Lauritzen Henrik L Jørgensen |
spellingShingle |
Christopher Jantzen Christian M Madsen Jes B Lauritzen Henrik L Jørgensen Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012 Acta Orthopaedica |
author_facet |
Christopher Jantzen Christian M Madsen Jes B Lauritzen Henrik L Jørgensen |
author_sort |
Christopher Jantzen |
title |
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_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_sort |
temporal trends in hip fracture incidence, mortality, and morbidity in denmark from 1999 to 2012 |
publisher |
Taylor & Francis Group |
series |
Acta Orthopaedica |
issn |
1745-3674 1745-3682 |
publishDate |
2018-03-01 |
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. |
url |
http://dx.doi.org/10.1080/17453674.2018.1428436 |
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