Key result
Male gender was a strong predictor of 12-month mortality following proximal femur fracture (34.6% vs 21.4% in women; HR 2.54, 95% CI 1.40-4.58), alongside higher ASA score, age, and surgical delay.
Why the study?
What are the predictors of one-year mortality in patients treated for fracture of the proximal femur?
Cohort (n=252)
No
What are the predictors of one-year mortality in patients treated for fracture of the proximal femur?
Hazard Ratio: 2.54 (95% CI 1.4–4.58)
Absolute Event Rate: 34.6% vs 21.4%
In patients with proximal femur fractures, male gender, higher ASA score, older age, and surgical delay are significant predictors of one-year mortality.
May inform risk stratification by sex after hip fracture; leaves open need for targeted interventions.
The objectives were to analyze one-year survival and mortality predictors in patients with fracture of the proximal femur (low/moderate trauma). A prospective cohort was formed by inviting all patients hospitalized in the Orthopedic Ward of the second largest hospital in Portugal (May 2008-April 2009). Survival was assessed at 3, 6, 9, and 12 months after fracture and related to demographic factors, lifestyle, and clinical history, as well as to data from medical records (fracture type, surgery date, surgical treatment, and preoperative risk). Of the 340 patients hospitalized, 252 were included (78.9% women). Mortality at 3, 6, 9, and 12 months was 21.2%, 25%, 28.8%, and 34.6% for men and 7.8%, 13.5%, 19.2%, and 21.4% for women, respectively. Predictors of death were male gender (HR = 2.54; 95%CI: 1.40-4.58), ASA score III/IV vs. I/II (HR = 1.95; 95%CI: 1.10-3.47), age (HR = 1.06; 95%CI: 1.03-1.10), and delay in days to surgery (HR = 1.07; 95%CI: 1.03-1.12). Factors related to death were mainly related to patients' characteristics at admission.
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Campos et al. (2015) conducted a cohort in Fracture of the proximal femur (n=252). Male gender vs. Female gender was evaluated on Mortality at 12 months (HR 2.54, 95% CI 1.40-4.58). Male gender was a strong predictor of 12-month mortality following proximal femur fracture (34.6% vs 21.4% in women; HR 2.54, 95% CI 1.40-4.58), alongside higher ASA score, age, and surgical delay.
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